Counselor Request Form
What is your name?
What is your student ID number?
Who is your counselor?
Mrs. Dinderman, Last names A-L or Mrs. Flores, Last names M-Z
I would like to see my counselor because:
Please select all that apply.
I have an issue with friends.
I have an issue at home.
I have an issue at school.
Is your issue urgent?
Urgent means that your safety or the safety of others is at risk.
I'm not sure.
Is there anything else you want your counselor to know?
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This form was created inside of Hays CISD.