Mark Keppel High School (MKHS) STUDENT MESSAGE TO COUNSELOR ____________________________

What is your full name? *

Please check if you are the parent/guardian of the student.

- Parent/Guardian

What is your student ID number? *

What grade are you in? *

What is the best email to reach you? *

Please confirm email address. *

You have an option of also leaving a phone number where you can be reached.

Who is your counselor? *

Please choose the appropriate box specifying the reason you need to contact your counselor. *

If you marked "Personal", and this is an EMERGENCY, please end your request and speak to a staff member in the Office of School Counseling.

Briefly describe what you would like to talk about with your counselor. The description should be as specific as possible. Please allow 3-5 business days for a response. *