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Group Visit Request
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*indicates a required field
Group Information
Name of Organization*
Mailing Address
Mailing Address
Country
Street
City
Region
Postal Code
Website
With what school(s) does your organization work?*
Primary Contact
First Name*
Last Name*
Address (if different than organization address)
Address (if different than organization address)
Country
Street
City
Region
Postal Code
E-mail Address*
Work Phone*
Contact number day of travel*
Visit Details
Visit Request Date*
Other potential dates for a visit
Which of the following activities are you requesting?
Which of the following activities are you requesting?
Information Session (30 minutes)
Tour campus (60 minutes)
Other special request
What special requests or other activities would you like to request?*
Preferred Arrival and Departure Times*
Preferred Arrival and Departure Times*
9:45 a.m. - 12:30 p.m.
10:25 a.m. - 1:30 p.m.
11:45 a.m. - 2:45 p.m.
12:30 p.m. - 3:45 p.m.
1:05 p.m. - 4:30 p.m.
Number of Students*
Grade Level of Students*
(Check all that apply)
Grade Level of Students*
(Check all that apply)
9th
10th
11th
12th
Other
Please list the high schools your group will be representing
Selection criteria for students to attend visit
Number of chaperones*
Names of Chaperone(s)*
What other schools are you visiting on this trip?*
Have you visited Knox before?*
Have you visited Knox before?*
Yes
No
When was your last visit to campus?*
Were you recommended by an alumnus/ae?*
Were you recommended by an alumnus/ae?*
Yes
No
Name of Alumnus/ae*
Additional Information or Questions or Comments
Submit