Counselor Referral Form
Fill out this form to let the counselor know you need to talk to her.
Complete este formulario para informarle a la consejera que necesita hablar con ella.
Sign in to Google
to save your progress.
Name of Person Making Referral (First and last name)
Student's Name and ID#
Reason for Referral
State Reason for the Referral
6th (Last name A-L)
6th (Last name M-Z)
How would you like to be contacted?
Contact Information. Please leave your email or phone number.
Thank you for reaching out to your counselor, she will be contacting you soon.
Never submit passwords through Google Forms.
This form was created inside of Laredo Independent School District.