2021-2022 DHST-S Counselor Request Form
This form is being used to contact a DHST-S counselor.  Please complete the form in its entirety and submit.  A few reasons to submit a counselor request are below:

Questions related to your
Academics
Future Career
Post-secondary Choices
Personal or Social Emotional Issue


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1. Select your high school *
2. Student Last Name *
3. Student First Name *
4. Student Number (do not include S) *
5. Current Grade Level *
Please select your current pathway and teacher from the list below. *
Which session do you attend, AM or PM? *
Email Address (Please put an email address that you read frequently) *
Phone Number (Please put a phone number that you can be reached at if we call.) *
Reason to speak with the counselor (Please provide specific information in the next question): *
Required
Please provide specific information to assist with the visit:   *
Submit
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