Ask a Counselor Intake Form

- ASK A COUNSELOR-

Student Information

Student G#

Student Name

First Name

Last Name

Student Email

Please check your email for a response. If a response is not in your inbox, check your Junk/Spam/Bulk mail folder.

My student type

My Educational Goal (you may check more than one)

Associate Degree Certificate Transfer to university Personal Enrichment Undecided/Exploring

My Major or Area of Interest

Reason for your Inquiry

How may we help you? Please list your question(s) and describe for us any details that help us understand your situation

Supporting Doc #1

No File Chosen

File uploads may not work on some mobile devices.

Examples: unofficial college transcripts, AP/IB Score report, copy of high school transcripts

Supporting Doc #2

No File Chosen

File uploads may not work on some mobile devices.

Examples: unofficial college transcripts, AP/IB Score report, copy of high school transcripts

Counselor Review

#2 Eval Date *

#2 Counselor Name (Who Is Reviewing the Request)*

#2 Counselor Comments (For Internal Use Only)

#2 Counselor Comments or Action For the Student (Outgoing Message to Student)

#2 Counselor Action *

Completed Eval: Send Custom Email Outgoing Message (a copy will also be sent to ECS inbox) Make an Appointment (Zoom or Phone) H.S. Concurrent Student - Refer to Jeremy No action needed/no email sent