WHS Academic Counselor Appointment
Please use this form to make a phone appointment with your counselor. We recognize that we are using the At Home Learning model. We are here to support you. We will contact you by phone or email since the school campus is closed. If you would like to check in with a Wellness Counselor, please email them directly. Ms. Sarah English at
or Phrani Diksa at
This form will allow you to contact your Academic Counselor.
Mr. Thierry Louwerse (Counselor for last name: A - Da)
Ms. Nicole Collins (Counselor for last name: De- La )
Ms. Anne Carew (Counselor for last name: Le - Pe )
Ms. Lisa Lee (Counselor for last name Ph - Te )
Ms. Jasmine Jaciw (Counselor for last name U - Z)
Date of Birth
Student's Grade Level
Reason for Appointment with Counselor
I understand that the counselor has received my online appointment request. I will check my school email for a response from my counselor. I acknowledge that Westmoor Wellness Counselors are available to support my social/emotional wellness. Also, I have checked the back of my student ID card for community resources.
I have read and understood.
Never submit passwords through Google Forms.
This form was created inside of Jefferson Union High School District.