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School Counselor Appointment Request Form: Central York High School
Students should use this form to request an appointment with their counselor. After completing this form, students should be sure to FREQUENTLY CHECK EMAIL to learn when their appointment has been assigned.
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* Indicates required question
Email
*
Your email
If you are wishing to make a schedule change, please do NOT complete this form.
Instead, fill out the form at
www.tinyurl.com/CYHSScheduleChange
.
Last Name
*
Your answer
First Name
*
Your answer
Who is your school counselor?
*
Choose
Mr. High (Last names A - Co)
Mrs. Utter (Last names Cr - G)
Mrs. Cooper (Last names H - Le)
Mr. Shellenberger (Last names Li - Pa)
Mr. Zelinka (Last names Pe - Sm)
Mrs. Foery (Last names Sn - Z)
I'm not sure who my school counselor is.
Are there days or times we should AVOID scheduling your appointment in the next week?
Your answer
When is your scheduled lunch?
*
(We will avoid making your appointment during your lunch period.)
Choose
A
B
C
D
I do not have a scheduled lunch
In general, what is your reason for this appointment?
*
Academic concern
Future planning (career and/or college planning)
Personal or social concerns
Other:
Required
A copy of your responses will be emailed to the address you provided.
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