High School Request to See a Counselor 18-19
In case of EMERGENCY, please dial 911. Do not email or leave voicemail's for the school counselors if you have a concern regarding the immediate welfare of yourself or another student. This form will be frequently monitored, but it is in no way a crisis line that is monitored 24/7.
What is your first name?
What is your last name?
Select your grade.
What can we help you with?
Class Change Request
Concern needing to report
How would you rate your need to see a counselor today?
If this is outside school hours, and your answer is "5" please contact an adult immediately or call 911. This is NOT a crisis line and is not manned 24/7.
I would like to see someone this week, but my issue isn't an emergency.
I am concerned for the immediate well being of myself or someone else
Is there anything you want to tell us? This is optional, you can leave this blank.
Never submit passwords through Google Forms.
This form was created inside of CACHE SCHOOL.
Terms of Service