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Please Select your Counselor Type
Please Select your Counselor Type
School Counselor
Independent Educational Consultant
Instructions
This form will register you to be added to our once-a-month counselor/school official mailing list. If the counselor role is selected below and we verify that person's status, this will also grant that person access to the counselor portal.
If you are completing this form on behalf of someone else, please be sure to enter their information and not your own.
Instructions
This form will register you to be added to our once-a-month mailing list.
If you are completing this form on behalf of someone else, please be sure to enter their information and not your own.
Salutation
Dr.
Mr.
Mrs.
Ms.
First Name *
Last Name *
Display Name
Role *
Counselor
Principal
Scheduling Contact
Title
Email *
Device Type
Device Type
Email Address
Evening Phone
Mobile Phone
Primary Phone
Email Device
Key
Phone Number
Primary
Yes
No
School Information
School Name Search (Name, City, CEEB)
: Please start typing your school's name and click on the result to populate the school code *
If your school is not listed, please contact
the counselor assigned to schools in your area
.
School Code
Verification
In order to maintain FERPA compliance, we will need to verify that this person is a faculty or staff member at this school and is in a role that matches the selection above. If your school has a staff directory or a counseling page that lists counseling staff, please include that web address below. If your school does not have that, please upload a copy of a letter confirming that the above staff member is in this role. This should be on school letterhead and should be signed by the principal and/or head of school.
Please select your verification method *
Please select your verification method *
I will provide a web address (URL) of our school staff or counseling page
I will upload a document on school letterhead verifying my employment and role
Web address (URL) of staff or counseling page *
Upload a letter confirming employment and role *
Business Address*
Business Address*
Country
Street
City
Region
Postal Code
Independent Parent Key
Submit