GROUP VISIT REQUEST FORM

Group Visit Request Form

We want to provide your group with the best virtual visit possible. Please provide as much information as possible in the form below. Upon submission, the point of contact will receive a confirmation email. If you have any questions, please contact the Ohio State Newark Admissions Office at 740 366-9333 and ask for the Group Visit Coordinator.
General Contact Information
School name: *
Point of contact name: *

First Name Last Name
Point of contact email: *
example@example.com
Point of contact phone number: *

Area Code Phone Number
Visit Information
Select a preferred agenda: *

Class period (50 minutes) Longer presentation (75 minutes)
Preferred Dates (you must select three): *
Option 1
*
Option 2
*
Option 3
Preferred start time (after 8:30am): *

: Hour Minutes AM/PM Option
Preferred end time (no later than 3:00pm): *

: Hour Minutes AM/PM Option
Please check all information you feel students will have interest in. Please note, some of this information may be given to you to pass onto your students through links and/or videos after the Group Visit presentation. *

The Office of Student Financial Services Multicultural Affairs Student Life Disability Services Not interested in hearing from campus partners
If you're interested in an alternate time option or you are interested in partnering with another school in your district for a virtual Group Visit, please indicate below. If you would like to partner with another school in your district, please provide the point of contact's information from that school below, so we can send them information regarding the partnered visit.

Interested in an alternate time option Interested in partnering with another school
Additonal school name:
Additional school point of contact name:

First Name Last Name
Additional school point of contact email:
example@example.com
Additional school point of contact phone number:

Area Code Phone Number
Student/Participant Information
Grade level(s) - check all that apply: *

Middle school/Junior high Freshmen/Sophomores Juniors/Seniors All high school grade levels
How will students be participating in the virtual visit? *

All students will be in a classroom and we will join the visit virtually from one device Students will be joining with their own devices from various locations A combination of the options above
Estimated total number of attendees (students and school staff): *
Should be Empty:

Group Visit Request Form

General Contact Information

Visit Information

Student/Participant Information