Counselor Sign Up

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Counselor Sign Up

If you need to talk to your counselor, please fill out the form below and we will contact you as soon as possible. It is your lunch #@students.bethelsd.org (example: 12345@students.bethelsd.org)

THIS SIGN UP IS ONLY CHECKED DURING SCHOOL HOURS ON SCHOOL DAYS. IF THIS IS AN EMERGENCY, PLEASE DIAL 9-1-1.

Email *

Name (FIRST & LAST) *

Student #

Grade *

6th

7th

8th

Which counselor do you need to see? *

Mr. Rogen (students with last names A-K)

Mrs. Zarling (students with last names L-Z)

Mrs. Stallman

I have questions/concerns about..... *

family

friends

academic (classwork, homework, etc)

schedule (class changes, TA forms, etc)

Registration - High School

Registration - Frontier

Other:

Provide a short description of why you need to get in contact with your counselor *

I need my counselor to contact me.... *

as soon as possible - URGENT

by end of the school day

whenever is convenient

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Bethel School District.

Does this form look suspicious? Report

Forms