MCHS School Counseling Appointment Request

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Your MCHS School Counselors, Mrs. Miller and Mrs. Smith, your College Adviser Ms. Rhodes and your Career Advisor, Mrs. Shifflett are available to meet in person at MCHS, video chat on Google Meet, or talk by phone with students who request an appointment using this form.

**IF THIS IS AN EMERGENCY, please exit this form and talk to the nearest adult.**

Please fill out the information below and we will work to respond/assist you as soon as possible!

Email *

Last Name *

First Name *

Grade *

9th

10th

11th

12th

I would like to meet with *

Mrs. Miller (A-M)

Mrs. Smith (N-Z)

Ms. Rhodes (College Adviser)

Mrs. Shifflett (Career Advisor)

My concern is about *

Academics

Personal

2 year College

4 year College

FAFSA

Career

Technical/Trade Program

Other:

Required

I need to talk with you *

Sometime today

Sometime this week

ASAP (time sensitive matter)

Right now! EMERGENCY! (Your safety or someone else's safety is in danger)

The best way to connect with me is *

In person

Email (we will use your school email address, be sure to keep an eye on it!)

Phone

Required

If you marked "phone above" please include the best number to reach you at

Submit

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