UW OMAD Recruitment & Outreach

Visitation Request Form

Thank you for your interest in visiting the University of Washington! We ask that you schedule your visit with us on a Wednesday, Thursday or Friday and submit your request at least 4 weeks in advance. We will consider events requested 2 weeks in advance, but those completing the form earlier will have first priority. We will confirm your request within 7-10 business days via email. A finalized schedule and detailed information will be sent to you two weeks prior to your visitation date. If you have any questions, please don't hesitate to email us at reach@uw.edu after you complete the visitation request form. We look forward to showing you and your students the University of Washington!

* PLEASE FILL IN THESE REQUIRED FIELDS

Visitation Contact Information:
* Name of Organization, School or Pre-College Program


* Is your group one of the following?




Gear Up
Upward Bound
Educational Talent Search
MESA
AVID
Not Applicable
* First Name:
* Last Name:
* Phone Number:     Ext:
Fax Number:     Ext:
* Cell Phone Number:
* Email:
(Your confirmation email will be sent here)
  If you have more than one email, separate them by a comma.
How did you hear about the Student Outreach Ambassador Program?

Logistical Details: (fill in the required fields and any others that apply)
* Location:
* Arrival:  
Date:
Time:
* Departure:  
Date:
Time:
  If you have more than one preferred time range, please indicate in comment area below.
Number of Vehicles:
* Number of students:
* Number of Underrepresented Students:
* Grade Level:
 

Hold control key to select multiple items.
Please note that the admissions presentation is not available for grades 6-10. If you will be bringing students in lower grades than the listed, please indicate in the comment box below.

* Preferred Activities: (Check all that apply)



Please describe your organization and any background information on your group (of students) that may assist us in planning an itinerary for your visit
Comments and other requests: (information that does not fit the above fields)

 

Disability Accommodations:

The University of Washington is committed to provide access, equal opportunity and reasonable accommodation in its services, programs, activities, education and employment for individuals with disabilities. To request disability accommodation for a campus tour, please contact the Disability Services Office at 206.543.6450 (Voice), 206.543.6452 (TTY) 206.685.7264 (FAX), or dso@u.washington.edu, at least ten days before you plan to arrive.

Statement of Nondiscrimination:

The University of Washington reaffirms its policy of equal opportunity regardless of race, color, creed, religion, national origin, sex, sexual orientation, age, marital status, disability, or status as a disabled veteran or Vietnam era veteran. This policy applies to all programs and facilities, including, but not limited to, admissions, educational programs, employment, and patient and hospital services. Any discriminatory action can be a cause for disciplinary action. Discrimination is prohibited by Presidential Executive Order 11246 as amended, Washington State Gubernatorial Executive Orders 89-01 and 93-07, Titles VI and VII of the Civil Rights Act of 1964, Washington State Law Against Discrimination RCW 49.60, Title IX of the Education Amendments of 1972, State of Washington Gender Equity in Higher Education Act of 1989, Sections 503 and 504 of the Rehabilitation Act of 1973, Americans with Disabilities Act of 1990, Age Discrimination in Employment Act of 1967 as amended, Age Discrimination Act of 1975, Vietnam Era Veterans' Readjustment Assistance Act of 1972 as amended, other federal and state statutes, regulations, and University policy. Equal Opportunity and Affirmative Action compliance efforts at the University of Washington are coordinated by the Office of Equal Opportunity and Affirmative Action, University of Washington, 231 Gerberding Hall, Box 351240, Seattle, Washington, 98195-1240, telephone 206.543.1830 or email eoaa@u.washington.edu.

The University of Washington is committed to providing access and reasonable accommodation in its services, programs, activities, education and employment for individuals with disabilities. To request disability accommodation in the application process, contact the Disability Services Office at least ten days in advance at: 206.543.6450/V, 206.543.6452/TTY, 206.685.7264 (FAX), or dso@u.washington.edu.