Dual Credit Campus Visit Request Form - Academics

* indicates required fields

*School Name:

*School Representative Name:

*School Representative Title:

*School Representative Cell Phone Number:

*School Representative Email:

*Number of Student Attending:

*Requested Date – First Pick

*Requested Date – Second Pick

*Requested Date – Third Pick

*Student Arrival Time

*Do you want students to have a 90 minute campus tour. Tours begin at the top of the hour on Tuesday-Thursday.Yes No

*Please provide the following information on each student attending:
(first name, last name, date of birth, graduation year)

*Will the students pick up Bearcat ID cards?Yes No

*Will the students pick up laptops? (Bearcat ID required for laptop pick up)Yes No

*Will the students eat lunch on campus? (lunch at the expense of the visiting group) Yes No

Any accommodations needed?

Comments

Special Requests (additional presentations/information, classroom visit)