2023-24 Counselor Appointment Request Form

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Counseling appointments are available during school hours.

Email *

Student Last Name: *

Student First Name *

Grade: *

Freshman

Sophomore

Junior

Senior

Phone Number *

Please select your assigned counselor *

Required

Please select your reason for request. you will also find helpful links attached. *

Academic (grades, GPA, a-g, classes, credits)

Aeries

Financial Aid ( (Resources available under counseling tab: http://www.shastawolves.com/)

Shasta College Concurrent Enrollment (I want/need to take a class at Shasta College)

Social/Emotional/Personal

Home issues

Conflict with a staff member or student

I'm having a really bad day and need to talk

Career/College

Testing information (PSAT, SAT, ACT, ASVAB)

Please describe in your own words the reason for your request:

Do you need to see your counselor today? *

Yes, this is an urgent matter

No, I can wait for an appointment

I think my question can be answered via email

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