ARIS Student Self-Referral Form
Hello Ramirez Wolf,
Please complete the following self-referral form if you need support from the counseling department. 

Mr. Gutierrez and Mrs. Niles are here to provide academic, social, and emotional help.
 
Crisis Support: Suicide and Crisis Life Line- Dial 988
"WHAT'S UP SAFE HOUSE or Text 1-844-204-0880 
The Trevor Project: LGBTQ Support Hotline: 1-866-488-7386 or Text Line: Text "START" to 678678

Sign in to Google to save your progress. Learn more
Email *
By clicking "Yes," you acknowledge that if you or someone you know is in danger of harming themselves or another person, to NOT complete this referral and get immediate support from an adult OR call 9-1-1.
*
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Corona-Norco Unified School District. Report Abuse