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Name of Student
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Contact Email Address
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Contact Phone #
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Campus Tour Session
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Contact me to schedule a day/time (Hampton Campus)
Contact me to schedule a day/time (Historic Triangle Campus only)
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Number in your party
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Student Type
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H.S. Senior
H.S. 9-11th grade
H.S. Graduate
Other:
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Academic Plans (check any that apply)
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Dual Enrollment
Pursue an Associate's Degree
Transfer to 4 Year College/University
Short-Term Career Training
Other:
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What are your academic or career interests?
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Is there anything specific you hope to see or learn about on your tour?
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What accommodations will you need for the tour (if applicable)?
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