Gateway High School Counseling Appointment Request 2018-19 Q2
Please complete this form to request an appointment with your counselor.You will be sent a pass with an appointment time.
Student ID # (if applicable, otherwise write N/A)
Please let us know if you are a student or a parent/guardian at Gateway:
I am a student
I am a parent/guardian
Who do you need to see?
Shannon Wachsmann (Students with last names A-C and ELD 1 & 2 students)
Elizabeth Felker (Students with last names D-K)
Garrett Wilton (Students with last names L-Q)
Chance Siegele (Students with last names R-Z)
What are you interested in talking about?
Schedule (complete this form only AFTER the 1st 2 weeks of school - if you need to change your schedule before then, you will need to complete a different form posted on the Gateway homepage)
ED 20/20/Credit Recovery
Personal Issue or Question
Pickens Technical College
Community College of Aurora (concurrent enrollment)
Alternate Placement (Rebound, APS Online)
Please tell us more about what you would like to discuss (for example, what class/program are you wanting to change and why; description of your question/issue) The more information you can provide, the better we can meet your needs:
What lunch do you have?
Both Lunches because I don't have a 4th Period class
Language preference (if you do not speak English and someone else is helping you complete this form, please let us know what language you speak)
Do you have any OFF Class Periods? If you do, please let us know which class periods you have off:
I DO NOT have any OFF Class Periods
I have Period 1 OFF
I have Period 2 OFF
I have Period 3 OFF
I have Period 4 OFF
I have Period 5 OFF
I have Period 6 OFF
I have Period 7 OFF
Do you attend all your classes at Gateway HS? If NOT, please let us know which classes you DO attend at Gateway (some students attend classes at Pickens or CCA):
N/A - I attend ALL my classes at Gateway
My 1st Period Class is at Gateway
My 2nd Period Class is at Gateway
My 3rd Period Class is at Gateway
My 4th Period Class is at Gateway
My 5th Period Class is at Gateway
My 6th Period Class is at Gateway
My 7th Period Class is at Gateway
Contact information (enter your cell number, school email address, or other contact information your counselor can use to contact you)
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