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Off Campus and Virtual Program Request Form
Thank you for your interest in having Dickinson attend your school/organization's program. Please fill out the form below!
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* indicates
required
registration information
Program/Visit Information
What is the title of the event?
What type of event is this?
What type of event is this?
Admissions workshop
Panel
Group Information Session/Presentation
High School Visit
College Fair
Other
If other, please explain:
Will this event be virtual or in person?
Will this event be virtual or in person?
In-person
Virtual
Please list the location of the event:
Will you provide a link or will we need to make one?
Will you provide a link or will we need to make one?
Link will be provided
Link will need to be built by Dickinson staff
Please list the date(s) and time(s) you would like us to attend:
Additional visit requests or comments
Counselor Information
Counselor First Name*
Counselor Last Name*
Contact Relation*
Administration
Administrative Assistant or Registrar
Counselor
Director
Independent Counselor
Counselor Title
Counselor Contact Information
Counselor Email Address*
Counselor Work Phone
Counselor Work Phone Extension
Organization Details
School/Organization Name*
School/Organization CEEB Code
Dickinson staff email address.
Submit