Request to See Counselor
DO NOT use this form to request a schedule change
Email Address (please add an email address you check regularly) *
Your answer
Date *
MM
/
DD
/
YYYY
UID *
Your answer
Last Name *
Your answer
First Name *
Your answer
Counselor
Grade *
Program *
Required
Below please type the reason you need to see your counselor. Be specific so your counselor may help you with your request. *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Kern High School District. Report Abuse - Terms of Service - Additional Terms