UCCS Counselor Request Form
Please fill out this form to set up a time to talk with the school counselor. Someone will contact you within 24 and 48 business hours.

NOTE: If this is an emergency please exit this form and call 911 or Summit Pointe Crisis Line at 1-800-632-5449.
Student first and last name? *
Guardian contact name, email, and phone number? *
What building do you (or your child) attend? *
Grade Level *
What would you like to talk to the school counselor about? *
Required
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