JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Request to see Mrs. Vorhees
Please fill out the Counselor Request for Mrs. Vorhees. Please be specific in the information you provide.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
UID
*
Your answer
Grade Level
*
9th
10th
11th
12th
Discovery/Workforce
Required
Reason for wanting to see your counselor
*
Schedule change
Grades/Credits
Letter of Recommendation
Personal
Student Supports (Tier 2 - anxiety, grief, anger, depression, coping skills, etc.)
College and Career Planning
ROC information
Other:
Required
Please describe in detail why you want to see your counselor. If you want to change a class, please explain what class you are wanting to drop and what class you are wanting to add. If you're wanting to discuss credits, tell what concerns you have, etc...
*
Your answer
Can Mrs. Vorhees respond to your question by email or phone?
*
I prefer to be contacted by phone
I prefer email and I understand that I must check my email for the response
I prefer to meet in person
Please give me the phone number that you can be reached and/or email address that you check most frequently.
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Kern High School District.
Report Abuse
Forms
