Guidance - Bethany Christian School | Christ Centered | Private Christian School in Brevard County

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Guidance Counseling Appointment Request

Use this form to request a meeting with our school counselor. Students and/or parents/guardians may submit.

Safety Concern? If anyone is in immediate danger or you have a time-sensitive safety issue, contact the school office right away or call 911. Do not use this form for emergencies.

Before You Submit

✔ Verify the information you have provided is correct, including the student’s name and grade level.

✔ Indicate the reason for the appointment (academic, personal, social, scheduling, college/career, etc.).

✔ If you are a parent/guardian include your phone number and email address for follow-up.

What Happens Next

The Guidance Counselor will review your request and follow up within 1–2 school days. Appointments will be scheduled at a time that works best for the student and minimizes class disruption whenever possible.

Student's First Name *

Student's Last Name *

Student's Grade Level *

Student's Grade Level

Are You a Student or Parent/Guardian? *

Are You a Student or Parent/Guardian?

Please describe the reason for the request (academic, college/career, dual enrollment, personal, scholarships, transcripts, scheduling, etc.) and a brief description. *

Parent/Guardian's First Name

Parent/Guardian's Last Name

Parent/Guardian's Phone Number

Parent/Guardian's Email

Please provide a few dates and times that you are available to meet and if you would like to meet via phone or in person. *

Guidance Counseling Appointment Request

Before You Submit

What Happens Next

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