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

* Indicates required registration information

Your name*

Contact phone number for the day of visit*

Contact Email Address*

School

School CEEB (automatically inserted when school is selected)

Office Address (if not at a secondary school)

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

If you selected 'Other' please note your request here and we will try our best to accomodate

Additional comments: