Student Referral
Submitting this form notifies my school counselor that I would like to see her so she can make time for me. Time is one of our most valuable assets. This keeps me from waiting and missing valuable class time. Thank you for submitting your request this way. If you have an emergency, please go to the office and request a counselor.
Email address *
First and Last Name *
Your answer
What is your grade level? *
What do you want to see the counselor for? *
Which Counselor do you want to see? *
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