Counselor Visit Request Form

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

Contact Email Address

Counselor Type

High School

Organization/Company Name

Office Address

Country

Street

City

Region

Postal Code

What is the date you would like to visit?

Arrival Time

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: