Counseling Referral
You can fill out this form if you need to see your counselor for any concerns you are having (academic, social, or emotional).  You can also refer someone you think needs our guidance.

If you are completing this form and you need some assistance you can contact Mrs. Njoroge in the Guidance Office.

 Please complete the following questions to the best of your abilities.
Sign in to Google to save your progress. Learn more
Email *
If you would like to leave your name you may do so here.
First name of student being referred. *
Last name of student being referred. *
Students Grade *
Reason for Referral *
Please Check ALL That Apply...
Required
How urgent is the issue? *
Not Very
Very
Additional Comments...
What else should I know about the situation?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Garaway Local Schools. Report Abuse
Google Forms