JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
UMD College in the Schools: Campus Visit Request Form
Please complete one form for each visit requested.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Teacher Information
High school name
*
Your answer
CITS teacher name
*
Your answer
Email address
*
Your answer
School phone number (include extension)
*
Your answer
Cell phone number
*
Please include for contact on visit day.
Your answer
Class Information
CITS course
*
Your answer
Visit Information
Preferred visit date: first choice
*
Your answer
Preferred visit date: second choice
*
Your answer
Preferred visit date: third choice
*
Your answer
Arrival time
*
Your answer
Departure time
*
Your answer
Number of students visiting
*
Your answer
Number - paying for lunch in the UMD cafeteria
Please bring cash or checks payable to “UMD.” Cost: $8.59 per person.
Your answer
Meet & greet location
*
UMD LSBE
Darland Admin
Other:
Number of registered CITS students
*
Only registered UMD CITS students are authorized to access UMD e-mail/Internet, e-Portfolio, and library databases. All students must have an active UMD e-mail account to access UMD Library resources.
Your answer
Will anyone in your group need disability accommodations?
*
Yes
No
If yes, please describe the accommodation needed.
Your answer
Would you like library instruction included in your campus visit?
*
Sessions are 90 minutes and can include instruction and activities related to locating and evaluating books and articles needed for research assignments.
Yes
No
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Minnesota Duluth.
Report Abuse
Forms
