Mulock Guidance Appointment Request Form 2020/2021

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We understand that this is a unique time for everyone; please know that your Guidance Department is still here to support you!

Please complete this form to request an appointment with your Guidance Counsellor. We will contact you via phone / Google Meet / Zoom or your GAPPS email. Wherever possible, appointments will be scheduled outside of class time in the morning on your asynchronous days or at lunch.

Guidance Counsellors are assigned to students based on your last name.
Ms. Avery A-G
Ms. Kim H-N
Ms. Woodfine O-R and T-Z
Mrs. Dacey S

Email *

Last Name *

First Name *

Preferred Name

Preferred Pronoun

If you are a parent/guardian, name of student:

Current Grade *

12+

Phone number to best reach you at (xxx-xxx-xxxx) Please add space between every three digits! *

Select your Guidance Counsellor *

Mrs. Avery (A-G)

Ms. Kim (H-N)

Ms. Woodfine (O-R and T-Z)

Ms. Dacey (S)

Semester 2 Learning Model *

Adaptive Model (Mulock in the morning & on-line in the afternoon)

Virtual School

Please contact me to discuss ... (select all that apply) *

my pathway plans for after high school

my timetable / classes / graduation / SHSM requirements

a personal matter

getting a copy of my final Transcript or Credit Counselling Summary

Other:

Required

What time of the day is best to arrange a phone call / Google Meet with you? (Select 2) *

8:00-8:30am

8:30-9:00am

9:00-9:30am

9:30-10:00am

10:30-11:00am

11:00-11:30am

11:30am-12:00pm

during my spare

I am at virtual school - during virtual school lunch

Required

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