2019-2020 Hunter Huss Counselor/Social Worker/College Advisor Request for Appointment/Assistance
Please complete this form as completely as possible This puts you in line to be seen and will help you be assisted as quickly as possible. NOTE: IF THIS IS AN EMERGENCY, PLEASE SEE A COUNSELOR OR OTHER STAFF MEMBER IN PERSON TO MAKE THEM AWARE OF YOUR SITUATION AND THE URGENCY.
First Name *
Your answer
Last Name *
Your answer
E-mail Address *
Please provide your e-mail address so we can communicate with you about your request. If you do not have an e-mail address, write NONE.
Your answer
I am a... *
Student's First and Last Name
Complete ONLY if you are NOT a student. This is the name of the student you are inquiring about.
Your answer
Grade Level of Student *
Who are you requesting an appointment with or need help from? *
Please select the level of urgency for your appointment. *
NOTE: Due to high numbers of appointment requests, we may not be able to see you as quickly as you request to be seen. We will do our best, however, and will take you in the order of your request.
Reason for Schedule Change Request (If Applicable) *
NOTE: If you select "OTHER," be sure to explain your reason thoroughly in order for your request to be completed AS QUICKLY AS POSSIBLE. Incomplete forms will potentially result in slower response due to lack of information. If you do not need a schedule change, indicate that using the appropriate check box.
Required
(For schedule change requests only) What class(s) do you need to DROP from your schedule? *
LIST EVERY CLASS YOU NEED TO DROP.. Please explain all details we may need to know, or your request will not be processed in a timely manner. NOTE: IF YOU DO NOT PROVIDE ANY DETAILS, YOU MAY NOT BE HELPED OR SEEN BY A COUNSELOR. If not a schedule change, type NONE.
Your answer
(For schedule change requests only) What classes do you need to ADD to your schedule? *
LIST EVERY CLASS YOU NEED TO ADD TO YOUR SCHEDULE. NOTE: IF YOU DO NOT PROVIDE ANY DETAILS, YOU MAY NOT BE HELPED OR SEEN BY A COUNSELOR. Please explain all details we may need to know, or your request will not be processed in a timely manner. If not a schedule change, type NONE.
Your answer
Academic Concern (check all that apply)
(If you need a schedule change, check the Class/Schedule Concern box, and be specific about your needed change in the Description of Your Appointment Request below.)
Personal/Social Concern (Check all that apply)
Career Concern (Check all that apply)
Phone #
Not required but helpful to help us communicate with you.
Your answer
Please provide some information about about your request to be seen?
This is not required, but it will be helpful to facilitate your request as quickly as possible.
Your answer
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