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Template Title
Counselor Visit Request
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Day/Date you'd like to visit
If your requested visit date is less than three days away, please call us at 800-448-3072.
First Name
Last Name
I am...
High school guidance/college counselor
Independent education consultant
Community based organization staff member
Other
High School Name
Community Based Organization Name
Name of college counseling business/practice
In what capacity do you counsel students on the college search process?
Email Address
Business Phone
Business Address
Business Address
Country
Street
City
Region
Postal Code
I'd like to do the following things during my visit to campus (please check all that apply):
I'd like to do the following things during my visit to campus (please check all that apply):
Campus tour led by a Lawrence student
Meet with an admissions counselor
For scheduling purposes, please provide your ideal arrival and departure time from campus.
Comments, questions or other things you'd like to share
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