Request an Appointment
Please use this form to request an appointment with a counselor or your grade level administrator. After you request an appointment, a pass will be sent to you when an appointment is available. If you have a concern that is an emergency, do not use this form. Please tell your teacher and report directly to the closest office for assistance.
Student Last Name
Student First Name
Student Cell Phone Number
Student Email Address
I would like to make an appointment with...
9th Grade Counselor - Mrs. Adam
10th Grade Counselor - Mrs. Sutton
11th Grade Counselor - Ms. Palmer
12th Grade Counselor - Ms. Bradshaw
9th Grade Administrator - Mr. Bozoian
10th Grade Administrator - Mrs. Vo
11th Grade Administrator - Mrs. McIntyre
12th Grade Administrator - Mr. Johnson
Primary Area of Concern
I need to discuss my schedule.
I need to discuss a discipline-related situation.
I need to discuss a social/emotional situation.
I have a concern regarding one of my classes or my teacher.
I have a question about dual enrollment.
I would like to talk about the future (college & career, SAT/ACT information, college recommendations, etc.).
I have another concern that is not on this list. (NON-EMERGENCY)
I have another concern that is not on this list. (EMERGENCY)
Please leave any additional information that will help the counselor or administrator be prepared for your meeting. (Optional)
My electives are the following periods:
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