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Vancouver Group Visit Request

* indicates required field

Group Contact First name:

Group Contact Last name:

Display name (hidden)

Group Contact Position/Title:

Group Contact Role:

Group Contact Email address:

Email type (hidden)

Dataset key (hidden)

Group Contact Phone number:

Contact phone type (hidden)

Mobile/Cell number (for contact day of event):

Mobile/Cell phone type (hidden)

Are you an Independent Educational Consultant or not affiliated with a high school or college?
Type in "Independent Educational Consultant" for your school name.

School/Organization Name:

Too many schools with a similar name? Try typing the city where the school is located after the name.
If you can't find your school, just type in the name and continue.

CEEB (hidden)

Approximate number of students attending:

Student grade levels (if applicable; select all that apply):

College-level

12th (seniors)

11th (juniors)

10th (sophomores)

9th (freshmen)

Middle school or younger

Unfortunately, we are unable to accommodate group visits for students in middle school or younger.

Student program (Select all that apply):

College Bound

TRiO

Upward Bound

AVID

Other...

Total number of staff/chaperones attending:

Number and type of vehicles (bus, van, etc.)

Preferred visit dates

We will do our to best accommodate your availability; requested dates are not guaranteed.

First choice date:

First choice time (Two hour time slot. e.g. 10 a.m. - noon):

Second choice date:

Second choice time (Two hour time slot. e.g. 10 a.m. - noon):

Third choice date:

Third choice time (Two hour time slot. e.g. 10 a.m. - noon):

Please indicate any additional information, specific requests or accommodations needed:

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