MVCC High School Group Visit Request Form

School/Group Name:

Today's Date:

Contact Person:

Contact Title:

Number of

(Max 100)

Contact Phone Number:

Contact Cell Phone Number:

Contact E-Mail Address:

Grade of Students :

First Choice of Visit Date:

Second Choice of Visit Date:

Estimated Arrival Time:

Estimated Departure Time:

What would you like to do on your visit?

Admission Presentation Campus Tour Residence Life Tour Other


Is your group interested in dining options? Yes, we would like to have lunch during our visit.

Please indicate if any members of your group are in need of accommodations (disability/dietary) while on your visit:

Additional Notes: