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Rose-Hulman Institute of Technology
GROUP VISIT REQUEST FORM
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>> This form is only for IECs, HS counselors, or a large group visit of prospective students currently in high school. Email questions to
campusvisits@rose-hulman.edu
.
To be respectful of our current students and faculty, or due to the large number of visitors during busier times, we are not able to accommodate all requests for group visits.
Select Request Type
Select Request Type
Prospective Student Group
IEC or HS Counselor
CONTACT INFO
Name (First & Last)*
Title*
Email Address*
Phone Number*
ORGANIZATION INFO
Name of Organization or School*
City, State*
GROUP INFO
Number of Adults*
Number of Prospective Students*
Number of Prospective Students*
1-10
11-20
21-30
31-40
Other
Number of Prospective Students*
DO NOT SUBMIT THIS FORM
For small groups, please complete our
Visitor Registration Form
to register
each prospective student
for one of our regularly scheduled campus visits instead of this Group Visit Form.
Grade Levels (select all that apply)*
Senior
Junior
Sophomore
Freshmen
Describe the type of bus your group will be traveling in for this visit.*
Below describe your group's interest level in S.T.E.M. majors.*
>> FORM WILL EXPAND BELOW AFTER ABOVE SECTIONS ARE COMPLETED <<
REQUEST VISIT DATE
Our campus visits typically last approximately 2 hours and include an admissions presentation and campus tour.
We do not offer group visits in March or April due to the large number of individual prospective students visiting campus. Additionally, other dates are unavailable because they fall during a weekend, school break, or another time when we are unable to accommodate group visits.
Select up to two dates and times
you will be available to increase the chances of availability lining up.
Date Requested*
Preferred Visit Time (US Eastern Time)*
Preferred Visit Time (US Eastern Time)*
9:00 AM - 12:00 PM
1:00 PM - 4:00 PM
Other
Earliest Arrival Time*
9:00 am
10:00 am
11:00 am
12:00 pm
1:00 pm
2:00 pm
3:00 pm
4:00 pm
Latest Departure Time*
11:00 am
12:00 pm
1:00 pm
2:00 pm
3:00 pm
4:00 pm
5:00 pm
6:00 pm
7:00 pm
First Choice*
Preferred Visit Time (US Eastern Time)*
Preferred Visit Time (US Eastern Time)*
9:00 AM - 12:00 PM
1:00 PM - 4:00 PM
Other
Earliest Arrival Time*
9:00 am
10:00 am
11:00 am
12:00 pm
1:00 pm
2:00 pm
3:00 pm
4:00 pm
Latest Departure Time*
11:00 am
12:00 pm
1:00 pm
2:00 pm
3:00 pm
4:00 pm
5:00 pm
6:00 pm
7:00 pm
Add Second Choice
Add Second Choice
+
Second Choice*
Preferred Visit Time (US Eastern Time)*
Preferred Visit Time (US Eastern Time)*
9:00 AM - 12:00 PM
1:00 PM - 4:00 PM
Other
Earliest Arrival Time*
9:00 am
10:00 am
11:00 am
12:00 pm
1:00 pm
2:00 pm
3:00 pm
4:00 pm
Latest Departure Time*
11:00 am
12:00 pm
1:00 pm
2:00 pm
3:00 pm
4:00 pm
5:00 pm
6:00 pm
7:00 pm
ADDITIONAL INFO
Upon request, we offer discounted lunch vouchers for visiting students and their chaperones during their visit to our campus good for $5.00 off the door price. The remaining balance (approximately $5 plus tax) will need to be paid via card at the dining hall entrance.
Is your group interested in eating lunch in our dining hall during your visit?*
Upon request, we offer discounted lunch vouchers for visiting students and their chaperones during their visit to our campus good for $5.00 off the door price. The remaining balance (approximately $5 plus tax) will need to be paid via card at the dining hall entrance.
Is your group interested in eating lunch in our dining hall during your visit?*
Yes
No
Upon request, we offer free lunch vouchers for visiting IECs and HS counselors.
Are you interested in eating lunch in our dining hall during your visit?*
Upon request, we offer free lunch vouchers for visiting IECs and HS counselors.
Are you interested in eating lunch in our dining hall during your visit?*
Yes
No
Use the space below for any additional info or special requests regarding your group.
Submit