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Community Based Organization UCI Visit Form
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Community Based Organization Contact Information:
Contact FIRST Name
Contact LAST Name
Contact Title
Contact EMAIL Address
Contact Phone Number
Contact Mobile Phone Number
Will this be the onsite contact?
Will this be the onsite contact?
Yes
No
Onsite Contact:
Onsite Contact FIRST Name
Onsite Contact LAST Name
Onsite Contact Mobile Phone Number
Tour Details:
Date of tour request
Date of tour request
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
Number of Students (max 150)
Grade Level
Grade Level
12th
11th
10th
9th
8th
7th
Type of Specialized Tour:
I am requesting:
I am requesting:
Campus Tour
Admissions Presentation
Materials (Materials include UCI viewbook, notebook, and sin sac)
Other
Other requests:
Submit
