Request to See Mr. Palma - Programs Counselor

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Students, please use this form to connect with Mr. Palma. He will do his best to respond to you within three school days. Thank you!

PARENTS, This form is for students only. Please use the Parent Request form here: https://bit.ly/38piZ0B

If you are not on campus and this is a life-threatening emergency please call 911 or go to your nearest emergency room.

NEED CRISIS SUPPORT?
If you need someone to talk to during these difficult times, make a call or send a text to:
National Suicide Prevention Lifeline: 1-800-273-8225
Crisis Text Line: Text Home to 741741
TrevorLifeline: 1-866-488-7386
TrevorText: Text Start to 678678

What is your Student ID Number *

Please enter your full ID number.

What is your LAST name? *

What is your FIRST name? *

Grade Level *

2027 (9th)

2026 (10th)

2025 (11th)

2024 (12th)

What would you like to discuss with Mr. Palma? *

You may check more than one option

Schedule/Classes - I understand schedules cannot be changed unless there is an error.

Academics/Grades - questions regarding a class/progress/graduation, etc.

College and Career - University, Community College, ROP, CTE, or job/future interests.

Personal - I have a question/concern I want to share with you. It is not an emergency.

Other: non-emergency

Other:

Required

Please let me know SPECIFICALLY what you would like to discuss. *

You can share as much or as little as you need. For example: "I would like to add an automotive technology ROP course to my schedule."

What is the best way to contact you? *

Respond via school email

Call out of class

Virtual Google Meeting

Submit

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