Shorter College Campus Inquiry / Tour Form

Shorter College Campus Inquiry / Tour Form
Student's Name*

First NameLast Name
Student's Phone*
Please enter a valid phone number.
Student's Personal Email*
example@example.com
Home City & State*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guardian's Name (If Applicable)

First NameLast Name
Relationship To Student
Guardian's Phone Number
Please enter a valid phone number.
When Do You Intend To Enroll?*
Is This For An Offical Student Visit?*

YesNo
If you intend to use this campus visit as an official visit for an excused absence, you must follow these instructions:
- Get an excuse from your parents for the day that you will be absent PRIOR TO YOUR ABSENCE.
- Take the excuse to your school’s Attendance Office BEFORE your college visit.
- Have the College Representative sign a visitation form or offer a signed letter to verify that you were at the college visiting.
- Return the signed visitation form or letter to your school’s Attendance Office the day you return to school.
Give us a range of dates and times when you will be in town so we can schedule a member of our staff and student volunteers to facilitate a campus tour.
From

MonthDayYear
Date
To

MonthDayYear
Date
Time Range You Would Like To Visit

MorningMiddayEvening
Any Interests To Focus On?

Student LifeAthleticsCentral Arkansas LifeAcademicsHousingFinancial Aid
Anything Else
Should be Empty: