JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
I Need to See my Counselor
Please fill out the following information and your counselor will get in touch with you as soon as possible.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email
*
Your answer
Grade
*
Your answer
Type of Problem
*
0 points
College/Career
Personal/Social
Academic
Severity of the Problem ("10" being an absolute emergency, someone is going to get physically hurt):
*
1 point
1
2
3
4
5
6
7
8
9
10
Short description of the problem:
*
Your answer
How would you like your counselor to get in touch with you?
*
Google Meet (video chat)
Google Voice (phone call)
NexGen email
Phone number (optional, only if you'd like a phone call from your counselor)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Albuquerque Public Schools.
Report Abuse
Forms
