Counselor Rubell Appointment Request: 11th/12th Grade
Please complete the form below if you would like to schedule an appointment with Ms. Rubell. I will respond to all request within 24-48 hours. Your email will be recorded when you submit this form. Once you request an appointment, I will email you to confirm a time to meet.

Please make sure you sign up for my Remind messaging. Text the number 81010 with the following message, based on your grade level. Make sure you include the @ symbol when sending the message below.

12th Graders text>>>      @rubell2024
11th Graders text>>>      @rubell2025 

CONFIDENTIALITY NOTICE:
Anything shared is kept confidential, unless you share something that reflects someone is hurting you, you want to hurt someone, or you want to hurt yourself.  

*If you are experiencing a life threatening emergency or have an urgent concern, meaning you or your friend's life is at risk, please call 911.

Thank you!
Ms. Rubell
Professional School Counselor
katricia.rubell@fwisd.org
Sign in to Google to save your progress. Learn more
Email *
Student Last Name (as it appears in Focus) *
Student First Name (as it appears in Focus) *
Student FWISD ID Number *
TCC ID Number (Type NA if you do not know) *
Grade Level *
Please provide your telephone number (type N/A if you do not have a phone) *
Select the appropriate reason(s) for your appointment *
Briefly describe the reason for your request. The more details you provide, the quicker I can respond to your request with appropriate and available resources. *
How would you like to be contacted? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Fort Worth ISD. Report Abuse