Innovation in Outreach Request for School Visit

Exit Survey
Questions marked with a * are required
55%
School Name
School Type
*If selected 'other' in previous question, please specify below:
Date of the Event:
(Please note: Campus tour dates in May are not available, as our calendar is fully booked during that month. Please select an alternative month when submitting your request.
For all other requests, our office will review your submission and connect with the appropriate point of contact for next steps.)
Type of Event
Total number of students
Number of students participating per grade level?
Number of Students
Headstart
Primary
Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Other?
UTEP College and Career Readiness Day/Fair/Classroom Presentations/UTEP College Day
Setup Time
Start Time
End Time
Tabling Event location setting
Classroom Presentation, please select one:
Lunch/Snacks
Field Trips to UTEP: 
Release and Indemnification Forms will be shared directly with the main point of contact via email.
Field Trip: Arrival Time at UTEP
Field Trip: Departure Time from UTEP
Please specify program, if applicable. (i.e. Purple Star, AVID, NHS, ENHS, Student Council, etc.)
Are ADA accommodations needed?
Special Tour Requests (enter N/A if none):
Lunch
Number of adults/chaperones
Number of buses

IMPORTANT: Due to ongoing construction on campus, buses will be limited to drop-off and pick-up only. Bus parking is not available on campus. Buses must drop students off, exit campus, and return later for pick-up.
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