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Meet with Your Counselor Request Form
Fill out this form when you need to meet with your school counselor and we will get back to you as soon as possible to meet with you and provide you support.
* Indicates required question
Email
*
Record my email address with my response
First Name:
Your answer
Last Name:
Your answer
Email Address:
Your answer
Grade Level:
9
10
11
12
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Counselor you need to see:
*
Mrs. Fox (A-E)
Miss Veltri (F-L)
Mrs. White (M-R)
Mrs. Jozefkowicz (S-Z)
Mrs.Homoki (student services secretary)
Reason to see your counselor (this remains confidential, only the counselors will see this):
Your answer
Please describe what you need in more detail so we are able to best support you:
Your answer
How soon do you need to see your counselor? (1-being not so urgent, 5 being extremely urgent)
1 - not so urgent
2
3
4
5 - URGENT
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