Request to See the Counselor
ATTENTION: THIS IS NOT THE SCHEDULE CHANGE FORM. IF YOU HAND THIS IN FOR A SCHEDULE CHANGE, IT WILL BE DISREGARDED. Fill out all information as clearly and specifically. Counselors will address your request as soon as possible. Please note that certain times of the year are busier than others, and your counselor will contact you as soon as they are available. Thank you for your patience.

IF THIS IS URGENT, PLEASE VISIT COUNSELOR'S OFFICE IN PERSON. IF THIS IS AN EMERGENCY, PLEASE CALL 911.
First Name *
Last Name *
Student ID Number *
Grade Level *
What would you like to visit with the counselor about? *
Please select one or more of the following
Required
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