DHS - Counselor Appointment Request:
Hi, thank you for reaching out! We look forward to assisting you as quickly as we can. If an immediate response is required, please feel free to e-mail your counselor, as requests via this form may take a couple of business days to process. Should I need to see you in person, a pass will be sent for you within the next few days. Please fill out this form completely and be sure to enter an email address that you check often. ~ Thank you!
Today's date *
I am a (Please select one): *
Student's Last Name *
Your answer
Student's First Name *
Your answer
Student I.D. Number *
Your answer
Grade *
Choose Your Counselor *
What can we help you with? *
Please select one or all that apply.
Please briefly tell me about your need or concern. (The more detail, the faster I can respond.) *
Your answer
I need to see my counselor.... *
Best method to contact you? *
Telephone number *
Your answer
Email address (Please provide me with an e-mail address that you check often, as I am often able to answer your question via e-mail and may not have to call you from class). *
Your answer
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