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Counselor Visit Request Form
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Thank you for your interest in visiting Ursinus College!
We look forward to welcoming you to campus.
Our office is open Monday through Friday 8:30 a.m. - 4:30 p.m.
Please complete the form below and an admission staff member will confirm your visit.
Contact Information
First Name
Last Name
Mobile phone number for the day of visit
Device Type - Mobile (Hidden)
Email Address
Evening Phone
Home
Mobile Phone
Primary Phone
Scoir Account: Scoir Messaging
Contact Email Address
Device Type- Email (Hidden)
Email Address
Evening Phone
Home
Mobile Phone
Primary Phone
Scoir Account: Scoir Messaging
Counselor Type
High School
Independent
Community Based Organization
High School
School CEEB (automatically inserted when school is selected)
CBO CEEB (hidden)
Independent CEEB (hidden)
Organization/Company Name
Office Address
Office Address
Country
Street
City
Region
Postal Code
What is the date you would like to visit?
What is the date you would like to visit?
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Arrival Time
How would you like to spend your time on campus? (please check all that apply)
How would you like to spend your time on campus? (please check all that apply)
Information Session with admission staff member
Campus Tour
Other
Other: please note your request here and we will try our best to accommodate
Additional comments:
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