Student Counseling Referral
Please fill out form completely and a Counselor will contact you.
If this is a TRUE emergency please contact Counselors by phone or stop by the Counseling office.
Student's First name
Student's Last Name
School ID Number
Who is your Counselor?
What letter does your LAST NAME begin with?
A-L~Mrs. (Gunter) Reese
M-Z ~ Ms. Hartman
Reason to see a Counselor
Please select from an option below. If "Other" please explain.
I need to see you...
Right away = BIG problem
Sometime this week
How do you prefer to have your counselor contact you?
Call me down from class
How are you currently attending school?
Is this an anonymous request?
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