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2025-2026 Student/Parent Sign-Up
Please fill out the form completely. Your counselor will call you down in the order in which they receive your sign up! Please DO NOT sign up multiple times!
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Student/Parent/Other
*
Student - please list your ID # under "Comment"
Parent - please list your student's name under "Comment"
Other
Comment (not required)
Your answer
Counselor (assigned by student alpha range, except Early College students)
*
Choose
Mrs. McGinnis (A-Decker)
Mrs. Cavins (DeGennaro-Hollowell)
Mrs. Wiencken (Holmes-Kingery and all Early College Students)
Mrs. Kirby (Kirchner-Medley)
Mrs. Ray (Mehta-Shobe)
Mrs. Flynn (Shockley-Z)
Mrs. Downs (Ivy Tech College Connection Coach)
Reason
*
Schedule change
Enrollment
Academic
College/Career
Personal
Emergency
Withdrawal
Other:
Pass needed
*
Yes
No- phone/email provided below
No- In office
Contact email or phone number
*
Your answer
Additional Information
Your answer
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