School Counselor Request Form
Hello Mustangs, 

We would like to check in with all of you. Please complete this request form to help your school counselors provide individualized support services. This form is specifically for students to fill out.

We meet with students between 8:30am - 3:39pm on school days Monday through Friday, starting August 15th.
Please allow up to 24-48 hours during the school week for school counselors to follow-up. 

If students are experiencing personal emergencies during the school day, please inform a staff member and a staff member will attend to you right away. 

Outside of these hours please be aware of the following free and confidential resources that are available 24/7:
  • Dial 988 OR
  • Crisis Talk Line: 1-800-273-TALK
  • Crisis Text Line: Text iCare to 898211
IF THIS IS A CRISIS/EMERGENCY, please do not hesitate to call 911.

In Community, 
MTHS Counseling Department
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Student Name (Last, First) *
What is your ID number? *
What grade are you in? *
Select your School Counselor *
What are your pronouns? 
Clear selection
What services can we assist you with? *
Required
Do you need translation support? *
If yes, what language?
Briefly, let us know your question, concerns or reason for this appointment. 
We encourage students to meet with school counselors during the school day, before/after school or during lunch. If you prefer a phone call after school, please leave the best phone number to reach you at.
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