Counselor Request Form 2022-2023

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Counselor Request Form 2022-2023

To schedule an appointment with either Mr. Kealy or Ms. McKenzie, complete the Counselor Request Form. We will schedule an appointment as soon as we can. If the matter is urgent and you haven’t been contacted by the end of the day, please come by the Guidance office.

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* Indicates required question

Email *

Your email

Student First Name *

Your answer

Student Last Name *

Your answer

Your Homeroom Teacher *

Your answer

Is your concern urgent? *

Yes

No

Area of Concern *

Academic

Social

Other

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