Language
English (US)
Spanish (Latin America)
Duncanville ISD Counseling Request Form
2024-2025 School Year
Need help now? Call 988 to talk to someone now if you are thinking about suicide, worried about a friend or loved one, or would like emotional support. The 988 Lifeline network is available 24/7 across the United States.
Person Filling Out the Form
*
Please Select
Parent/Guardian
Student
Employee
Other
Student Name
*
First Name
Last Name
Student ID Number
Campus:
*
Please Select
Acton
Alexander
Bilhartz
Central
Fairmeadows
Hastings
Hyman
Merrifield
Smith
Brandenburg
Daniel
Hardin
Byrd
Kennemer
Reed
STEAM
Duncanville HS
Duncanville Collegiate HS
Pace HS
Summit
Grade Level:
*
Please Select
PK3
PK4
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Phone Number of Person Filling Out the Form
Please enter a valid phone number.
Email Address of Person Filling Out the Form
example@example.com
Please describe the support you are requesting.
*
Submit Form
Should be Empty: