Counselor Request Form
Fill this out to request to have a meeting with the Counselor, Mrs. Cole or the Student Support Specialist, Mrs. Coltson. Students, Parents, and Teachers can fill this out and either Mrs. Cole or Mrs. Coltson will meet with the student as soon as possible with the intent of meeting within 24 hours. Sometimes the Counselor or Student Support Specialist is not present in the building and it will take more than 24 hours to get a response.
Student's First Name
Student's Last Name
I have a conflict with a friend and need help to resolve it
I would like to report a concern I have about another student
I need someone to talk to about a personal situation
I am having trouble with my classes and need to talk to someone about getting help
I need resources (clothes, food, school supplies)
I would like to talk to the counselor about my career interests and options
I am a parent and would like the counselor to meet with my student regarding a concern
I am a parent and would like the counselor to meet with this student that I have concerns about.
I am a teacher and would like the counselor to meet with this student that I have concerns about.
If you would like to request a specific counselor, select one here. In the case of emergencies or more serious concerns it is possible that the first available counselor will meet with you.
Any additional information you would like to provide.
A copy of your responses will be emailed to the address you provided.
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of Hastings Area School System.
Terms of Service