JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Student Request to See the School Counselor
You must complete this request to see your school counselor.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
My Counselor is
*
Ms. Sarver (A-D)
Mr. Brower (E-K)
Mrs. Decker (L - Ri)
Mrs. Evans (Ro-Z)
Grade
*
9
10
11
12
Email
*
Your answer
Reason for Request
*
Course Change Request (only permitted with parent permission and under specific sircumstances)
Sign up for an online course
Service Learning or Summer Opportunities
Career Questions
College/Scholarship Questions
Peer Conflict/Relationship Conflict
Student/Teacher Conflict
Problems at Home
My concern is not listed here (you must complete the next section to see a counselor)
Required
My concern is not listed above.
If your concern was not listed above, then you must enter your reason for your request here.
Your answer
You will be contacted as expeditiously as possible. Please allow up to 3 days for a response. If this is a true emergency (you are at risk of harm) see the Guidance Secretary immediately.
*
I understand
Required
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
