Visit Request Form Survey

Congratulations on your admission to Temple University's Honors Program! We're looking forward to meeting you. If you have any questions about this form, please contact our us at honors@temple.edu.

1. STUDENT FIRST NAME

STUDENT FIRST NAME

2. STUDENT LAST NAME

STUDENT LAST NAME

3. BIRTH DATE (Please enter in MM/DD/YYYY format.)

BIRTH DATE (Please enter in MM/DD/YYYY format.)

4. EMAIL ADDRESS
This will be our primary method of communication with you.

EMAIL ADDRESS This will be our primary method of communication with you.

5. CELL PHONE NUMBER
We will only use this if we need to contact you on your visit day or if we have trouble contacting you via email.

CELL PHONE NUMBER We will only use this if we need to contact you on your visit day or if we have trouble contacting you via email.

6. WHAT IS YOUR PLANNED MAJOR?
Its OK if you don't know for sure - just give us a general idea of your academic interests.

WHAT IS YOUR PLANNED MAJOR? Its OK if you don't know for sure - just give us a general idea of your academic interests.

7. Pre-Professional Track? (ie, Pre-Med, Pre-Dent, etc.)

Pre-Professional Track? (ie, Pre-Med, Pre-Dent, etc.)

8. PERMANENT ADDRESS (Home)

PERMANENT ADDRESS (Home) Address:
Address 2:
City/Town:
State:
ZIP:

9. HIGH SCHOOL

HIGH SCHOOL

10. WILL YOU BRING ANYONE WITH YOU ON YOUR VISIT DAY? IF SO, WHO?
If you choose to bring guests with you, they're welcome to attend any portion of the visit day you'd like except attending a class (due to space issues).

WILL YOU BRING ANYONE WITH YOU ON YOUR VISIT DAY? IF SO, WHO? If you choose to bring guests with you, they're welcome to attend any portion of the visit day you'd like except attending a class (due to space issues).

11. WHERE ARE YOU IN YOUR COLLEGE DECISION-MAKING PROCESS?
Please note that visits are reserved for students who have been admitted to Temple University and the Honors Program.

WHERE ARE YOU IN YOUR COLLEGE DECISION-MAKING PROCESS? Please note that visits are reserved for students who have been admitted to Temple University and the Honors Program. I have never visited Temple's campus before and I'm still deciding among schools.

I have visited Temple before and I'm still deciding among schools.

I've never visited Temple's campus and I have deposited or plan to deposit at Temple.

I've visited Temple before and I have deposited or plan to deposit at Temple.

Other (please specify)

12.

	Available Dates
1st Choice Visit Date	1st Choice Visit Date Available Dates
2nd Choice Visit Date	2nd Choice Visit Date Available Dates

13. WHAT WOULD YOU LIKE TO DO WHILE YOU'RE HERE?
All visits already include a meeting with Honors Program staff, a tour of Honors facilities and a chance to meet current students.

WHAT WOULD YOU LIKE TO DO WHILE YOU'RE HERE? All visits already include a meeting with Honors Program staff, a tour of Honors facilities and a chance to meet current students. General Temple Information Session and Campus Tour

Tour 1300 residence hall (including the Honors Living Learning Community)

Meet Fox Business Honors staff and tour facilities (only available for accepted Fox Honors students)

Other (please specify)

14. Is there anything else you think we should know about you in order to match you with similar current students? (i.e. Are you vegan? Do you play the tuba?)

Is there anything else you think we should know about you in order to match you with similar current students? (i.e. Are you vegan? Do you play the tuba?)

If you are not available on any of the listed visit days and would like a date further in the future, please contact us at honors@temple.edu to discuss alternative arrangements.

Also, please consider joining us at an Honors-oriented Experience Temple Day on March 26 or April 14, 2012. Experience Temple Day contains many of the same elements of our weekday visits. Most people find the day to be very helpful in their decision-making process, and it may be all you need!

Here is the Experience Temple website for more information and to RSVP: http://www.temple.edu/rsvp/honors/