Request to See Counselor
Please fill out and submit this request to see your counselor. Please allow 48 hrs for a response.
Email address *
Today's Date *
MM
/
DD
/
YYYY
Last Name *
First Name *
Student UID *
Select Counselor you wish to reach: *
Cell phone # (###-###-####)
Reason for request? *
Submit
Never submit passwords through Google Forms.
This form was created inside of Kern High School District. Report Abuse