Access to Counselor

Access to Counselor

If you need to leave your class to see your counselor, please fill out this form before heading to the counseling center.
Name*

First NameLast Name
Teacher of class you are currently in.*
Who is your Counselor*

Shannon HippeBrad SerkaAllison SinexDane Stringfellow
Student Responsibility*

I acknowledge that I am responsible for any material that I miss from class while I am with my counselor. Please check canvas and speak with your teacher.
Before you submit request:

Please take a moment before submitting this request. Can this wait until after class or during lunch? If so please email your counselor to request a meeting time.
Should be Empty:

Before you submit request: