Bullying Help form Students, this form will be sent directly to your counselor once you click Submit. Your information will be kept private. If you have a question about your schedule, please visit the counselor in person. * indicates required field Person to Contact* Select Counselor for students Last name A-J Counselor for students Last name K-Z Administrator Name:* Is this an Emergency Yes No. Briefly describe your need: How would you like us to handle your need: I wish not to be called to the office at this time. I am willing to come speak with someone privately. Please do not share my name.