AWARE Student Support Services Referral Pathway - Cecil B. Rigsby (2025-26 School Year)

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Welcome to the AWARE Student Support Services Referral Pathway! The Referral Pathway is a tool to help students and families access student supports and mental health counseling services in their schools and communities.

If you are a student in crisis (or are worried about a student in crisis) in need of immediate assistance, you can text the Crisis Text Line at: 741-741, call or text the National Suicide Prevention Lifeline at: 988, or call the Statewide Crisis Phone Line at: 855-CRISIS-1 (855-274-7471).

Select one: *

Step 1 (FOR STUDENT USE): Submit NEW request for student support services

Step 1 (FOR ADULT USE): Submit a NEW request for student support services

Steps 2-5 (FOR SCHOOL COUNSELORS & PROVIDERS): Update EXISTING service record

Clear form

Never submit passwords through Google Forms.

This form was created inside of EMT Associates, Inc..

Does this form look suspicious? Report

Forms