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Counselor Sign-Up (ME-PI)
This form is NOT for emergencies. I will send a pass to your class as soon as I am available.
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* Indicates required question
ID #
*
Your answer
Last Name
*
Your answer
First Name
*
Your answer
Grade Level
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Choose
9
10
11
12
Reason For Appointment
*
Schedule
Grades/Academic
College/Career
Personal
Other:
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Current Class Schedule
To expedite your request, please enter your classroom numbers below.
1st Period Room Number
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2nd Period Room Number
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3rd Period Room Number
Your answer
Lunch
A
B
C
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4th Period Room Number
Your answer
5th Period Room Number
Your answer
6th Period Room Number
Your answer
7th Period Room Number
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