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SCHOOL COUNSELOR Appointment Request Form
Please fill out the form to request an appointment or communication with your School Counselor.
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* Indicates required question
Your name
*
Your answer
Your student ID number (lunch number)
*
Your answer
Your Grade
*
6
7
8
9
10
11
12
Select your School Counselor
*
Mr. Fernández (grades 10-12, Last Names A-M)
Ms. Farrell (grades 10-12, Last Names N-Z)
Ms. Dickinson-Llaurado (grades 8-9)
Ms. Gray (grades 6-7)
Urgency of request
*
When Available
As soon as possible
This is a crisis
Brief description of what you need.
(NO SCHEDULE CHANGE REQUESTS. ALL CLASS CHANGE REQUESTS WILL BE IGNORED.)
*
Your answer
Preferred means of communication
*
Send me a pass and call me to your office
Text message
Email
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