Rockford High School Guidance Office
This form is for students to submit a request to meet with your Counselor. Please indicate below what you may need assistance with. We will contact you with a time to meet.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Email address *
Phone number *
What is the preferred method of communication? *
Grade Level *
What would you like to discuss your counselor? *
If this is a personal/social concern please give a brief summary below.  Note: if you are in crisis, please call 911 immediately
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Rockford Area Schools. Report Abuse