2020-2021 JAY SEA Request to See Counselor Form
Please complete the following questions to request a meeting with your counselor. We strive to respond to requests within 48 hours.
Call 911 if you are having thoughts of hurting yourself or others or know of someone who is having these thoughts.
Student ID (the number you use for your lunch account or to check out a book)
Student's Last Name
Student's First Name
Type of Concern
College, Career, Military Readiness
Name of person completing this form and your relation to the student (write "self" if you are self-referring)
Send me a copy of my responses.
Never submit passwords through Google Forms.
This form was created inside of Northside ISD.