If you need academic assistance from a National Honor Society (NHS) candidate, please fill out this form and click "send." An email will be sent to the advisors. If someone wants and is available to meet with you one-on-one, your contact information will be passed on to that candidate. If, in a week, no one has contacted you, please follow up with Ms. Stipo (C106) It is possible that no one is available to help you when you are available. If that is the case, then we encourage you to go to the Library Media Center or the Atrium where sometimes NHS candidates can be found. Also, you may wish to speak to your teacher or counselor about other extra help possibilities.

	Full Name (Nombre y apellido):*

	Your grade (su grado):
	--None--9th 10th11th12th

	your email address (su correo electronico):

	your phone number (su numero de telefono):*

	Name of Course (nombre del curso):*

	Name of Teacher (nombre del profesor/a):*

	Course level (nivel del curso):*
	--Please Select--regentsnon-regentshonorsAP

	Periods you are available for help. Include exact information, and if you are available during lunch or after school. (Periodos ud. esta disponible para ayuda. Incluye si ud. esta disponible durante la hora de almuerzo o despues de escuela):*