Counseling Request (Non-Emergencies)

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Complete this form to request to speak with a counselor. Someone from the Guidance Office will follow up with you during school hours. If this is an emergency that requires immediate attention, please seek help from the nearest adult or Call 911.

Last Name *

First Name *

District High School *

Grade *

Adult Student

Teacher *

Which Session? *

Request Type *

I have a question about my college/career/job

I am struggling with my class

I need support - social/emotional

Something else

I would like to speak with a *

Counselor

Social Worker

Click here if you have recently changed your address or phone number:

Phone Number

Address

Both

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