JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Request for Counseling: Summer 2020
Please complete this form to the best of your ability, and a Castleberry ISD Counselor will be in touch with you shortly.
If you, or someone you know is in immediate danger, please call 9-1-1.
Sign in to Google
to save your progress.
Learn more
Please provide your First and Last name
Your answer
Are you a
Castleberry ISD Student?
Parent of a Castleberry ISD student?
Faculty Member or Castleberry ISD?
Community Member?
Clear selection
If you are a student or a graduating senior in 2020, what grade level were you in for 2019-2020?
Your answer
Please provide a valid email address
Your answer
Please provide a phone number where you can be reached
Your answer
All interactions with CISD Counselors must be by phone or online. Please indicate the manners in which you feel comfortable interacting with a counselor (Check all that apply to your preferences)
A phone call with a Counselor
A Hangout/Meet online with a Counselor - INDIVIDUALLY
A Hangout/Meet online with a Counselor - AS PART OF A GROUP
Email correspondence with a Counselor
I just want a referral to low cost Counseling options in the Community
Please provide any information you feel would be helpful when we assign a Counselor to you
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of castleberryisd.net.
Report Abuse
Forms
