Group Visit Request
Email address *
Contact Name *
Your answer
What is your relationship to the group?
High School or Group Name *
Your answer
City, State, and County
Your answer
Contact Phone/Cell # *
Your answer
Secondary Contact Name (someone that will be attending with the group) *
Your answer
Secondary Contact's Cell # *
Your answer
Number of Students *
Your answer
Number of Chaperones (Please note at least one chaperone for every 15 students is required) *
Your answer
Grade Range of Students *
Required
Date Requested *
Preferred Arrival Time *
Time
:
Departure Time *
Time
:
Will you need transportation scheduled for you? *
Your visit will consist of an Admissions Presentation, Campus Tour, and Lunch (2 hrs min). If time allows, is there anything else you would like to see while on campus?
Your answer
Additional Comments/Requests/Accommodations
Your answer
By checking agree, I acknowledge that this form is only a request for a group visit, and Vincennes University Admissions may confirm or deny my request based on availability. *
Required
By checking agree, I acknowledge that I have read and agree to the terms of the Group Visit Contract and will submit a signed copy prior to our visit. *
Required
Event title
Your answer
Event date
MM
/
DD
/
YYYY
Event title
Your answer
Event date
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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