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SRMHS Counselor Appointment Request
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* Indicates required question
Student ID Number
*
Your answer
Student email address
Your answer
Parent email address
Your answer
Grade Level
*
9
10
11
12
Required
Counselor
*
High (9th grade)
Shaw (10th grade)
Hall (11th grade)
Samek (12th grade)
Kuhn (SAP)
Required
General area of concern
*
Academics/Grades
Attendance
Personal concerns
College/Career Planning
Required
Detailed question or concern
Your answer
IF THIS IS AN EMERGENCY/SAFETY CONCERN (YOU OR SOMEONE ELSE IS AT RISK), COME TO THE OFFICE IN PERSON IMMEDIATELY
Your answer
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