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.
First Name *
Your answer
Last Name *
Your answer
Student ID # (if applicable, otherwise write N/A) *
Your answer
Please let us know if you are a student or a parent/guardian at Gateway: *
Required
Who do you need to see? *
What are you interested in talking about? *
Required
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:
Your answer
What lunch do you have? *
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)
Your answer
Grade *
Do you have any OFF Class Periods? If you do, please let us know which class periods you have off: *
Required
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): *
Required
Contact information (enter your cell number, school email address, or other contact information your counselor can use to contact you)
Your answer
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