CRB Counseling Dept Appointment Request & Check-In
Welcome to the CRB Counseling Department appointment scheduler. Please complete this form to request a meeting with a counselor or advisor.

⚠️ IMPORTANT: If you are experiencing an immediate life-threatening emergency, please notify a teacher or staff member immediately or call 911 / text 988.
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Email *
Student Identification
Full Name (First and Last) *
Preferred Name / Nickname (Optional)
Official Class (e.g., 9A, 11B)
Current Grade Level *
Best Phone Number / Student Email *
Where can we reach you or send your pass/confirmation?
Staff Selection & Meeting Reason
Who would you like to see? *
Please select the counselor/advisor assigned to your grade or need:
Reason for Meeting Request (Select all that apply) *
Required
Briefly share what you would like to discuss:
Give us a brief idea so we can prepare before meeting with you.
Urgency & Safety Check
How urgent is this request? *
Safety Check: Are you currently having thoughts of self-harm, suicide, or hurting someone else? *
If you select YES, please immediately go directly to the Counseling Suite, tell your classroom teacher, or find a trusted adult in the building right now.
Scheduling & Communication Preferences
What times work best for you to meet? *
Required
Preferred contact method for your pass / appointment confirmation: *
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