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Adam Southall Meeting Request (2020-2021 school year)
Please fill out the information below. Mr. Southall will reach out to you via email to schedule a time to talk on the phone or meet via Zoom.
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* Indicates required question
Email
*
Your email
I am a...
*
Choose
student
parent/guardian
staff member
college/university representative
community support agency representative
community partner
First Name
*
Your answer
Last Name
*
Your answer
MoHS Student ID (lunch number)
*
If you are not a student, please type "none."
Your answer
Student Grade Level
*
Choose
9th
10th
11th
12th
I am not a student.
What is the best time of day for you to meet virtually?
*
Mr. Southall will do his best to meet with students during the preferred time but due to other obligations, he cannot guarantee it.
Within the hours of 8:30-12:30.
Within the hours of 12:30-4:30.
I do not have a preference and can meet anytime during the school day.
Required
Visit Purpose
*
Please check all that apply.
academic
personal/social
college/career/after high school plans
Required
Send me a copy of my responses.
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