Counseling Contact Form

Please be advised that the counselor retains the right to determine whether your concerns, issues, and or questions can be adequately addressed online; if necessary, the counselor may require an in-person, face-to-face appointment.

Complete the following form so that a counselor can answer your question completely and respond to you within two business days.
(*) =required fields

*Last Name
*First Name
*Email Address
*enter email again to verify
*Phone Number (area code)

1. Enrollment status:	Currently enrolled Prospective student Returning student Parent High school freshman, sophomore, or junior
2. Do you participate in the special services programs at Gavilan College? (ex: TRIO, Mesa, EOPS, Puente)	yes no
3. Have you attended other colleges or universities?	yes no
If yes, have you requested that transcripts be sent to Gavilan College?	yes no
4. What is your major?
5. What is your educational goal?
6. What is your career objective?
7. If applicable, please identify the Gavilan College Counselor you may already be working with:
8. Is this your first Gavilan College online counseling request regarding this matter? I submitted the first request on (date)	yes no

Please type your counseling question in the space provided:

Address of this page is http://www.gavilan.edu/counseling/contact_form.html
Last updated: August 3, 2009
For comments, send email to webmaster@gavilan.edu

www.gavilan.edu	New Students	Academics	Student Services	News/Events	Search:

Home > Counseling > Counseling Contact Form