SCHOOL COUNSELOR Appointment Request Form

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Please fill out the form to request an appointment or communication with your School Counselor.

Your name *

Your student ID number (lunch number) *

Your Grade *

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.) *

Preferred means of communication *

Send me a pass and call me to your office

Text message

Google Meet (Virtual students only; meeting time & code will be texted)

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Never submit passwords through Google Forms.

This form was created inside of St. Paul Public Schools.

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