CBO / High School Visit Request Form

If you are interested in bringing a group of students from a high school, community based organization (CBO), or other college access group serving students traditionally underrepresented in higher education, we would like to work with you to accommodate this request. Please complete this form at least 4-6 weeks prior to your requested visit date to inquire about availability, and someone from our team will be in touch with you within 7-10 business days (office closures may impact this response timeline).

IMPORTANT NOTE ABOUT DATES & TIMES:
At this time, we are no longer accepting requests for the summer and the form is closed. The form will reopen in early October to accept requests for the fall.

Organization Information

High School Name

High School CEEB

CBO/College Access Group Name

Please provide a link to your organization's website (if available) so we may learn more about your work.

Please provide a brief description of your group. This should include its mission, information about the students you serve, how you choose students to participate in your program(s), a summary of the work you do with students and the geographic area(s) you serve.

Does your organization charge students for any portion of the services your provide to them?

Yes

Please explain what, how and when students and/or their guardians are charged for services.

Contact Information

Organizer's First Name

Organizer's Last Name

Organizer's Email Address

Organizer's Phone Number

What is your role in this group?

Will there be another day-of point person?

Yes

Maybe; I'm unsure at this time.

Day-of Point Person's Name

Day-of Point Person's Phone Number

Day-of Point Person's Email Address

Organization Mailing Address

Country

Street

City

Region

Postal Code