Keefe Tech Counselor Request Form
Please use the form below to request an appointment with your School Counselor.  This form replaces the paper green forms that used to be at the entrance of the guidance office.  We are asking students to make all appointment requests by using this form, calling their counselor and leaving a message, or emailing their counselor.

Counselors will be notified of your request and follow up with you based on your preferred format that you include below.  Please note that your request will only be shared with the school counselors and not for view anywhere else.  Thank you!



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Email *
First Name: *
Last Name: *
Grade Level: *
School Counselor: *
Preferred type of follow-up: *
Best number to reach you:
Reason for needing to meet with your School Counselor (please select all that apply): *
Required
Based on your response above, please share some additional details with your counselor (i.e. how urgent is personal matter, specific course you want to change, etc...)
A copy of your responses will be emailed to the address you provided.
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