2020-2021 Virutal Group Tour Request

Please contact Molly Button at mmbutton@eiu.edu with questions about scheduling your group visit.

Contact Name Contact Name * First Last
School/Organization Name *
School/Organization Address School/Organization Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
School/Organization Phone School/Organization Phone * - ### - ### ####
Counselor/Lead Chaperone Work Phone Counselor/Lead Chaperone Work Phone * - ### - ### ####
Counselor/Leader Chaperone Email *
Cell Phone of Staff Member Accompanying Group Cell Phone of Staff Member Accompanying Group * - ### - ### ####

This will be used for the day of visit in case of emergency.
Date Requested
(We offer virtual group visits most Tuesdays-Thursdays) Date Requested
(We offer virtual group visits most Tuesdays-Thursdays) * / MM / DD YYYY
Virtual Presentation Time

Virtual Presentation Time
9:30 AM 10:00 AM 10:30 AM 11:00 AM 1:00 PM 1:30 PM 2:00 PM
Number of Students. *
Number of Staff *
What grade level(s) will be paricipating?
Please note that priority will be given to college and high school aged students.

What grade level(s) will be paricipating?
Please note that priority will be given to college and high school aged students. College Senior Junior Sophomore Freshman Other Other
Students may apply for free while participating in a virtual visit if they plan to attend in the next year. Would your students like to apply during your campus visit?

Students may apply for free while participating in a virtual visit if they plan to attend in the next year. Would your students like to apply during your campus visit? Yes No Not Applicable
Special Requests/Comments
By checking this box, I understand that submitting this form is just a request, and not a virtual visit confirmation. I understand that a representative from the Office of Admissions at Eastern Illinois University will contact me to confirm my requested date's availability. *

By checking this box, I understand that submitting this form is just a request, and not a virtual visit confirmation. I understand that a representative from the Office of Admissions at Eastern Illinois University will contact me to confirm my requested date's availability. Yes No Not Applicable