e-Counseling is available to students enrolled in online classes and who live too far from the campus to conveniently access services. Before completing the Intake Form below, you must read the e-Counseling FAQs (Frequently Answered Questions) and the e-Counseling Confidentiality Agreement.
e-Counseling Services include basic educational planning. Because of the Family Educational Rights and Privacy Act (FERPA), Berkeley City College e-Counselors will only provide general information. Due to the high volume of student emails, responses are not immediate and it may take up to three working days to receive a response.
Intake Form Instructions
Please read the e-Counseling FAQs and the e-Counseling Confidentiality Agreement first. Then fill out the e-Counseling Intake Form below. If you need assistance filling out the form below, please contact the Counseling Department at email@example.com or (510) 981-5036.
Some items in the form are denoted as: (required) . Please enter all required information, otherwise the form will not submit and error messages will be displayed. A copy of your form information will be emailed to you, so please enter a valid email address when completing the form. If you do not receive the email message, please check your spam folder in your email account.