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K-12 Campus Visit Request Form
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Name of School
Program (if applicable)
Registrant Information
Your Name
Your Telephone
Your Title
Your Email Address
Contact Information - Day of Visit
Name
Title
Office Phone
Mobile Phone
Email Address
Visit Information
Preferred Date of Visit
Number of Students
Number of Chaperones
Grade Levels of Students
Arrival Time
Departure Time
Interested in:
Interested in:
Campus Tour (approximately 1 hour)
Admissions Overview (30 minutes)
Additional Opportunities (subject to availability)
Options (subject to availability):
Options (subject to availability):
Higher Education Opportunity Program - HEOP Overview (30 minutes)
Community of Underrepresented Professional Opportunities - CUPO Overview (30 minutes)
Clarkson Ignite - Dorf Makerspace Tour and Overview (approximately 45 minutes)
School of Engineering - SPEED Labs (30 minutes)
Institute for STEM Education - STEM Activities (approximately 1 hour)
Diversity, Equity & Inclusion Office - DEI Overview (30 minutes)
Submit
