Spectrum High School Counselling Request Form

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Please use this form to request a counselling appointment with a school-based counsellor.

PLEASE READ AND RESPOND TO ALL QUESTIONS CAREFULLY BEFORE SUBMITTING YOUR REQUEST.

SCHOOL BASED COUNSELLORS can assist you with: High school academic advising, postsecondary planning, course change requests, solution-focused, brief counselling, and referrals to outside agencies.

School Based Counsellors

Ms.Golder (for students with the last names from A-E) Monday-Friday (Mornings to after lunch)

Mrs. Quast (for students with the last names from F-O) Monday-Friday 8:30 am -3:00 pm

Ms. Wohlberg (for students with the last names from P-Z) Monday-Thursday 9:00am-3:00 pm

(Please note that this form is NOT for appointment requests with Youth and Family Counsellors).

Counsellors will connect with students as soon as possible, and will reach out directly (generally within a few days), using your preferred contact method.

If you have an urgent matter that you need support with, and it is outside of school hours, please call the Crisis Line at 1-888-494-3888. If you need immediate support during school hours, please come to the counselling area and check in with an available counsellor.

If there is a medical emergency, please go to your nearest hospital, or call 911.

*Note: Information on this form will be kept confidential.

Email *

What is your FULL name

Please indicate your preferred pronouns

What is your current grade?

Please specify the counsellor you are assigned to (based on the first letter of your last name: See below) *

Ms. Golder (for students with the last names from A-E)

Ms. Quast (for students with the last names from F-O)

Ms. Wohlberg (for students with the last names from P-Z)

Please indicate the reason you are requesting an appointment so we can better prepare to support you.

FOR GRADE 12 STUDENTS: GRADUATION CHECK ONLY

Academic Questions

Career/Post-Secondary Advising

Social/Emotional/Personal Support

Referral to outside agency

Other:

Please indicate your preference as to how you will be contacted by your counsellor for your initial appointment.

Email (please be sure to check this regularly; we will email back with a response and/or appointment date and time.)

Being contacted in person while in class

Required

Contact information: Preferred email to be contacted at, or class preferred to be pulled from for your initial appointment.

Please provide SPECIFIC information in regard to the reason for your appointment request.

A copy of your responses will be emailed to the address you provided.

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