Appointment Request:  (Inman)
This form should only be filled out by 10th - 12th grade students whose last names begin with G - M.  
If this is an emergency or you are in crisis, please do not fill out form.  
If you are at school, ask the Student Services Secretary to speak directly with your counselor.
If you are at home, call 911 or the Suicide Prevention Hotline at 1-800-273-TALK (8225).
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Last Name *
First Name *
Email Address *
Grade Level *
My main concern or question is related to . . . *
What is your main concern or question? *
How quickly do you need a response? *
How do you want to receive your response? *
At certain times of the year, school counselors are out of the office due to proctoring duties, classroom presentations, and professional training.  Please anticipate that a counselor may need 2 - 4 days to respond to your request.  Thanks and have a great 2021 - 2022 school year!
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