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Counselor Appointment Request Form

Note: Fields marked with an * are required.

This form is intended for use by students.

Students: Please complete the following information to request a meeting with your counselor.
The counseling department reviews requests at the end of each day and will touch base with you within 24 to 48 hours.

If it is an emergency, please report to the counseling office.

Parents/Guardians, others: please contact your student's counselor directly via email.
Appointment Information
I would like to request a meeting with: *
I would like to speak to my counselor about: *
You may check multiple boxes
How can we contact you?

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