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UCCS Counselor Request Form
Please fill out this form to set up a time to talk with the school counselor. Someone will contact you within 24 and 48 business hours.
NOTE: If this is an emergency please exit this form and call 911 or Summit Pointe Crisis Line at 1-800-632-5449.
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* Indicates required question
Student first and last name?
*
Your answer
Guardian contact name, email, and phone number?
*
Your answer
What building do you (or your child) attend?
*
Elementary School
Middle School
High School
Grade Level
*
K
1
2
3
4
5
6
7
8
9
10
11
12
What would you like to talk to the school counselor about?
*
Academics
Scheduling
College/Scholarship/FAFSA Assistance
Peer Conflict
Personal Needs
Social Emotional (mental health, anxiety, depression, anger, etc.)
Other:
Required
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