School Counselor Appointment Request Liberty
If this is an emergency please do not use this form. If you have an emergency, please notify your teacher, so that you can receive permission to go to the school counseling office. The purpose of this form is to request an appointment with your school counselor. The form will be monitored on a daily basis. Expect an appointment with your counselor to take place within 2 school days after the request is submitted. The appointment may take place virtually so please check your school email for any communications from your school counselor.
* Required
Email address
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Grade
*
Choose
9th grade
10th grade
11th grade
12th grade
Counselor
*
Choose
Ms. Myres
Ms. Siegle
Ms. Ferrara
Ms. Hobbs
Mr. Patterson
Ms. Caggiano (SAC)
I don't know the name of my counselor
What is your reason for the appointment?
*
Scheduling issue- please describe below.
College Planning
Personal matter (not an emergency)
Other
Please briefly describe in more detail the reason for the appointment.
*
Your answer
Send me a copy of my responses.
Submit
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