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    Request for Counseling Services

    JSU HOME » CC Services

    Counseling services are available to all Jacksonville State University students.

    During normal business hours 'Counseling and Career Services' can be contacted by phone at (256) 782-5475.

    The * indicates a required field.
    * First/Last Name 
    * E-mail Address 
    * (Area Code) Phone  () 
    * Student Number (SSN) 
    * Street Address 
    * City , State 
    * Zip Code 
    Please indicate where you would like to schedule a meeting.

    * I would like to schedule a meeting on campus.

    * Please refer me to an off campus service.

    * I have read and understand the 'Confidentiality Policy' and 'General Information'.

    Please check the information you have entered before you submit the request.

    We will attempt to contact you soon.

    This is not a secure site, any information you submit could be intercepted by a third party.