Please fill this out and hit "submit." For an anonymous request, please put the word "HELP" as the Student's Name.
Please select your current grade...
What do you wish to discuss with your counselor
College/ Career Planning
Register for SAT/ACT
Bullying (Victim or Bystander)
Suicidal Thoughts (Please see your counselor now, or call 911 for an emergency)
Personal (Please describe below)
Other (Please describe below)
Please include additional information here if necessary.
Please rate the importance of the issue
Medium (Assistance within a day or two)
High (Assistance needed today)
Urgent (Assistance needed immediately)
Other information (if you are requesting a transcript, please include the complete name of the college and mailing address):
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This form was created inside of City View ISD.