IGNITE INSTITUTE- Request for School Counselor
Please fill out this form if you wish to speak with a counselor.
If this is an emergency, please seek an adult immediately or call 911.
If this form is being completed after school hours, your response will not be seen until school is in session.
A counselor will try to meet with you within three school days. After three days, you haven't met with a counselor, please speak with your teacher.
Email *
Today's Date *
This form is being completed by: *
Name of Student (LAST Name, FIRST Name) *
Grade *
What is the concern: *
This: *
Information I want to share with you now
I understand a counselor may not be immediately available. *
Clear form
Never submit passwords through Google Forms.
This form was created inside of Boone County Schools.