Get in Touch with a Counselor during COVID
If you would like assistance from a Counselor or Mrs. Salinas, please complete this form. Once you submit the form either Mrs. Knight, Ms. Fairley, or Mrs. Salinas will email you as soon as they can.
What is your first and last name? *
Your answer
What grade are you in? *
Homeroom Teacher? *
Your answer
What is today's date? *
MM
/
DD
/
YYYY
I am...(check all that apply) *
Required
Describe your problem here. Please include names of people and details, if possible. *
Your answer
Please enter an email address. Until we get back to campus, we can email each other. *
Your answer
Who would you like to talk with? (Choose 1) *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy