Counselor Notification Form
If you would like to meet with a counselor, please complete this form and submit. We will follow up with you as soon as a counselor is available.

If this is an emergency, please tell any adult on campus and ask to speak to a counselor or administrator immediately.

First name
Your answer
Last Name
Your answer
Student ID Number (Please be accurate) *
Your answer
Who is your assigned Academic Counselor? *
Reason for the request (select all that apply) *
Please let us know if there are any other details
Your answer
Is there a specific person you would like to speak to?
PE Period *
Your answer
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