Request to See School Counselor

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Please complete this form if you would like to schedule an appointment to see your counselor. We typically see students in 24-48 hours of their request. If this is an EMERGENCY, please seek out any adult in School Counseling immediately. This form is not monitored by counselors outside of school hours (8:30am-4pm).

Student Name *

E-mail Address *

Grade *

School Counselor *

Mrs. DiTommaso (Center for Medical Sciences and Integrated Services); Mrs. Gravely (A-D) ; Mrs. Walton (D-Hi); Ms. Katz (Ho-Mi); Mr. Clough (Mo-Se); Mrs. Eubank (Sh-Z)

Reason for request *

Current Classes/Grades

College

SAT/ACT

Career Planning

Schedule Change

Course Selections

Personal

Need Information About....

Other

More detailed info *

Please provide a brief description below.

Best time to call me *

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