School Counselor Contact Request Form
If you would like to see a school counselor, please complete the following form. Your school counselor will be in contact with you as soon as possible. If this is an emergency, immediately report to your teacher, the guidance office, the main office, or another school employee as soon as possible.
Last Name *
Your answer
First Name *
Your answer
School Counselor *
Reason you would like to meet with your school counselor (check all that apply). *
Required
If you chose other above, please provide a brief description
Your answer
Would you prefer an email response or face-to-face meeting? *
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