Request for counselor conference- Use after 8/12

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Please use this form to request a conference with your counselor. You may still email your counselor or call them, see our website for contact information. Questions regarding attendance need to be directed to the AP, questions regarding chrome books can be answered by the AP. Parking pass information is online and you can go to the Tiger Den. Our website has information on how to log on to CISD programs. If you are having a mental health crisis, please reach out directly to your counselor or call 911 if you are at home. This form is NOT for students in crisis! It is not for requests for schedule changes, that is on the scheduling webpage.

I acknowledge that this is not an emergency. I understand that it may take up to 24 hours for a counselor to get back with me. If this is regarding a suicidal student, I acknowledge that I will not use this form and will instead call a counselor. I know that I can also contact 911 or Anonymous Alert if it is an emergency. *

I agree

What grade is the student? *

10-12

What is your student's ID #? If you do not know, leave this blank.

What is your student's last name, first name? *

Who is your counselor? *

Rivera 9th grade last name a-ga

Rucker 9th grade last name ge-om

McAdams 9th grade last name oo-z

Castillo 10-12th grade last name a-broo and new to the country

Hadash 10-12th grade last name brop-d

Knight 10-12th grade last name e-hac

Holmes 10-12th grade last name had-leg

McCune 10-12th grade last name leh-mun

Davis 10-12th grade last name muo-reb

Bond 10-12th grade last name rec-sti and dual credit issues

Brown 10-12th grade last name stj-z

What is your daytime phone number without dashes? *

What is your email address that you check frequently? *

How would you like to be contacted? *

phone

I really want a video conference, please call me to set it up

please call me in to the office, I know that I need to wait for a pass

Relationship to the student *

I am the student

I am the guardian/parent

Click on the situation that best summarizes your needs. Counselors are not in charge of attendance or chromebooks, please see the AP for those questions. It is past the time to request a schedule change to a different course. *

Scheduling concerns

Four year plan questions

Credit questions

Emotional concerns

Other

(not required) Briefly describe your issue, if you would like a schedule adjustment, please use the form and email it to your counselor instead of this. Consult our webpage https://rb.gy/qwblqo

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