Counseling Request
For Staff
Personal Details
*
First Name
Last Name
Whatsapp Number
*
Whatsapp number
Format: (000) 000-0000.
Sparrow Email address
*
example@sparrowportal..co.za
Reason for Request
*
Abuse
Addiction
Family Issues
Stress
Trauma
Suicidal
Relationship issues
Financial Issues
Absenteeism
Depression
Dropping out
I'd rather speak about it in person
Grief and bereavement
Other
Department
*
Please Select
Combined School Staff
Foundation School Staff
FET Staff (Admissions, ETQA, Sales, WIL)
CSI & Marketing Staff
Trust Staff (HR, Online, IT, Maintenance)
Tell us a bit about your reason (optional)
Signature
After recieving your request, we will contact you to arrange a
time for your counseling session.
Submit
Should be Empty: