Counseling Appointment Request
Thank you for requesting to meet with me, Jenn Truong. This appointment form is for students in Grades 10-12 with last names that begin with H-P.

This form is used to request a meeting with your counselor. Counselors will check this form daily, but please allow up to 24- 48 hours to respond to your request.    

If this is  an emergency and cannot wait, please contact 911, the 24-hour Crisis Line: 1-866-427-4747, or text "HOME" to 741741.

Looking forward to connecting with you!
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Email *
First Name (Example: Jenn) *
Last Name (Example: Truong) *
Student ID Number *
Phone Number *
What would you like to meet about? (Check all that applies) *
Required
If comfortable, please provide a brief summary of your questions or concerns about the topics checked above. This will help me be prepared for our time together.
How would you like to be contacted? *
What day works best to contact you? Please choose at least two options. *
Required
What time of day works best to contact you? Please check all that apply.
Anything else I should know before we meet?
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