GCOunsel

Student Information Form

Full Name (Last Name, First Name MI.) *

Student ID (20XX-XXXXXX) *

Must match official NU Student ID format.

NU Email Username *

@students.nu-fairview.edu.ph

Institutional domain is automatically appended.

Course / Academic Program *

Select all that apply:

Academic Career Life / Personal Mental Wellness Family Social / Relationships Others

Counselor (Select Below) *

Consultation Date (Choose an available date) *

Office hours: Monday to Saturday. Sundays closed.

Available Consultation Time Slot *