Georgetown University School of Medicine Campus Tour
Thank you for your request. You will hear from our office in 5-10 business days.
All tours will be guided by a member from the Office of Diversity and Inclusion at GUSOM. Please note, tours will begin at 9:00am sharp.
Name of School
Please enter the name of the school that you are affiliated with.
Your answer
School Address
Your answer
Number of students attending the tour
Your answer
Date requested
Please chose FOUR dates that you would be able to come in for a campus tour. Option 1:
MM
/
DD
/
YYYY
Date requested
Option 2:
MM
/
DD
/
YYYY
Date requested
Option 3:
MM
/
DD
/
YYYY
Date requested
Option 4:
MM
/
DD
/
YYYY
Adult Contact Name 1
You must have at least one adult chaperone for the guided campus tour.
Your answer
Email
Your answer
Phone Number
Your answer
Adult Contact Name 2
Your answer
Email
Your answer
Phone Number
Your answer
Adult Contact Name 3
Your answer
Email
Your answer
Phone Number
Your answer
Does anyone in your group require any special accommodations?
Your answer
Would you be willing to sign a photo release form?
Signature
Please type your full name
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Georgetown University. Report Abuse - Terms of Service - Additional Terms