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Home > Student Life > Disability Services > EDUCATE > EDUCATE Visit > EDUCATE Visit Request Form

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EDUCATE Visit Request Form

"*" indicates required fields

Interested in learning more about the EDUCATE Program?

We invite prospective students, families, and other supporters to visit campus so we can share how EDUCATE supports students in academic learning, career development, and campus engagement.

Please complete the form below. A member of our team will contact you to confirm your visit./p>

Contact Information of Individual Completing this Form

Name*

First Last

School/Organization

(if applicable)

Email*

Phone*

Preferred Method of Contact:

Email

Phone

Text

Prospective Student Information

Student Name

First Last

(if different from above)

Student Age

Current School

(if applicable)

Expected High School Graduation Year

(if applicable)

Visit Preferences

Please provide at least three dates or date ranges that work well for your visit:

Preferred Time of Day:

Morning (8:00 a.m.–11:00 a.m.)

Midday (11:00 a.m.–2:00 p.m.)

Afternoon (2:00 p.m.–4:30 p.m.)

No Preference

Approximately how many people will attend?

Please list the names of anyone attending with you

During Your Visit

What would you like your visit to include?

A campus tour with the EDUCATE Coordinator or another college representative, including information about the EDUCATE program, eligibility, admissions, and student supports.

A meeting with the EDUCATE Coordinator or another college representative to discuss the EDUCATE program, eligibility, admissions, and student supports (no campus tour).

If you choose a campus tour, would you like to include a visit to campus housing?

Yes

No

Are there additional topics you would like to discuss during your visit?

Financial aid and scholarships

Other

Other additional topics to discuss

Meet Current EDUCATE Students

Would you like current EDUCATE students to join your visit (if available)?

Yes, I would enjoy hearing about their experiences.

No, thank you.

Accessibility & Accommodations

We strive to make every visit welcoming and accessible.

Will anyone in your group need accommodations during the visit?

Yes

No

If yes, please check any that apply

Mobility considerations

Sign language interpreter (ASL)

Large-print materials or other alternative formats.

Sensory considerations (quiet space, reduced stimulation, etc.)

Other

Please explain print material needs

Other accommodation needs

Additional Information

Please share any additional information or questions you’d like answered that will help us prepare for your visit.

How did you hear about the EDUCATE Program?

High school

Friend or family member

College fair/event

51�� website

Social media

Vocational Rehabilitation Services

ThinkCollege Website or Representative

Other

Other way you heard of the EDUCATE program

Δ

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