Counselor Request Form
If you need to see your counselor (Mrs. Ditterline - last names A-K or Mrs. Rotter - last names L-Z). Please complete the form and submit it. Your counselor will call you down as soon as they are available.
Email address *
First Name: *
Your answer
Last Name: *
Your answer
Date:
MM
/
DD
/
YYYY
Grade Level:
Reason for needing to see the counselor: *
Required
Is this an emergency? An emergency is when you or someone you know is in immediate danger.
If this is an emergency, please give more information about what is going on.
Your answer
Is there any other information that we should know before we call you down?
Your answer
Submit
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