Hemet High School

Counselor Appointment Request Form

Please complete the form below. Mandatory fields marked *

Student Information

Last Name *: First Name *: Student ID *:

Non-Student Information

If the appointment request is for anyone other than a Hemet High student, please provide the following information.

Last Name: First Name:
Phone #: Relationship to Student:

Request Details

I'd like an appointment Please call
Request Date:
What is the Appointment Regarding?

Mrs. Kemp (A – Gn)	lkemp@hemetusd.k12.ca.us
Mrs. Jacobs (Go – Pa)	jjacobs@hemetusd.k12.ca.us
Mr. Orzechowski (Pb – Z)	orzecho@hemetusd.k12.ca.us
Mrs. Anderson (Freshmen)	sanderson@hemetusd.k12.ca.us
Mrs. Vallerga (Psychologist)	vvallerg@hemetusd.k12.ca.us

Hemet High School

41701 E. Stetson Ave. Hemet, CA 92544 Phone: (951) 765-5150 Fax: (951) 765-5177

Header Photo by J. Hill

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