Chowan University Group Visit Form
Thank you for your interest in visiting Chowan University. We look forward to having you! Please complete this form so that we can move forward in planning your campus visit.
* Required
Email address
*
Your email
Group Visiting
*
Your answer
School/Organization/School System
*
Your answer
Visiting group contact person's Name
*
Your answer
Visiting group contact person's Email:
*
Your answer
Visiting group contact person's Phone Number:
*
Your answer
Date you would like to visit:
*
MM
/
DD
/
YYYY
Alternative date (if your requested date is not available).
*
MM
/
DD
/
YYYY
Total number of students in your group:
*
Your answer
Total number of adults in your group:
*
Your answer
Grade level and age range of students in your group:
*
Your answer
Why are you interested in visiting Chowan University?
*
Your answer
What visit elements do you want?
*
Campus Tour
Admissions Presentation
Lunch ($3 per person)
Academic Activity
Other:
Required
If Academic Activity was chosen, what area of interest does the group prefer?
*
Sciences
English
Graphic Communications/Design
Mathematics
Fine Arts
Music
History
Physical Education
Other:
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Chowan University.
Report Abuse
Forms