Dixie HS Counselor Sign Up (confidential).
Sign in to Google to save your progress. Learn more
Name *
Last Name, First Name
Student ID#
Grade *
Contact (cell# or email)
Counselor to Visit *
Purpose of visit *
IF IT'S an EMERGENCY
24 hour hotline available for emergencies SAFE UT app (in google play or app store) or 1-800-273-TALK (8255)
Any additional info (confidential)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Washington County School District. Report Abuse