Request edit access
Counseling Office Request
If you feel that you are in a crisis and that it is an emergency for someone to contact you right away, please let your teacher know and ask that he/she call the main office. For all other questions or concerns, please complete this form so you may be served efficiently and appropriately by the Counselor or other staff members. Once your responses have been submitted and reviewed, you will receive a meeting invitation by email. It is important that you check your email regularly and know when your appointment is scheduled so you can then let your teacher know of your appointment and be dismissed. Once you arrive in the Counseling Office, please check in with the front desk staff.
Email address *
First Name *
Your answer
Last Name *
Your answer
School email address *
Your answer
Grade *
What is the purpose of your request? *
Please provide a brief description of your concern. *
Your answer
Please identify how urgent it is to address your concern
When is the best time for you to be contacted by the Counselor or other staff member? Student preference is always considered, but may not always be accommodated. You will receive email notification of your scheduled appointment.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of School District 27j. Report Abuse - Terms of Service