Shadow Visit Request Form
Thank you for your interest in visiting Illiana Christian High School! Please complete both sections of this form.
The school day, and therefore the Shadow Visit, starts at 7:40 a.m. and ends at 2:50 p.m.
Once this form is submitted, our Director of Admissions, Marie Limback, will contact you to confirm your visit.
You can contact Mrs. Limback with any questions at 219.558.7066, ext 49 or mlimback@illianaweb.org.
Shadow Visits may be scheduled for school days starting Monday, October 14, 2019 through Friday, May 15, 2020.

Requested Date of Shadow Visit *
MM
/
DD
/
YYYY
Visiting Student's name *
Your answer
Gender *
Cell Phone
Your answer
Email
Your answer
Current School *
Your answer
Current Grade *
Birthdate *
MM
/
DD
/
YYYY
Academic Interests
Your answer
Extracurricular Interests
Your answer
Illiana Christian High School Student Host (Assigned by Illiana Admissions Office or requested by visiting student)
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Illiana Christian High School. Report Abuse