Chicano Student Programs - School Visit Request Form 
Each quarter Chicano Student Programs hosts 6-8 school visits with schools across the state ranging from K-14 including parent organizations. School visits include student panels, presentations, and campus tours focused on UC Riverside admissions and campus life as well as the resources available for Chicanx/Latinx scholars and community. Please note: School visits requests have a minimum of 30 minutes and a maximum of 3 hours. 

Registration must be completed at least four weeks in advance, to allow ample time to complete all required visitation paperwork and coordinate all event logistics. Important: If you are requesting a visit on behalf of a group, insurance forms must be submitted two weeks prior to your scheduled visit. 

If you have any questions, please feel free to contact Chicano Student Programs at (951) 827-3821. Registration will be accepted on a first-come, first-served basis. Applications will be reviewed in the order received, if your request is confirmed, a confirmation email will be sent to the contact listed in request. Submitting a school visit request does not guarantee confirmation. 

Email *
Contact Last Name:  *
Contact First Name:   *
Contact Email:  *
Contact Phone Number (Office and extension): 
Contact Cell Phone (To be used during your visit):  *
Will this be your first time visiting UCR or a college campus? *
I am requesting the following:  (Minimum of 30 mins - Maximum of 3 hours) *
Required
I am requesting a visit on the following dates and times: 1) First Preference and 2) Second Preference (Please indicate at least 2 dates/times)  *
Estimated Duration of School Visit (Minimum 30 Minutes - Maximum 3 Hours):  *
Please Indicate the time of arrival at UCR and time of departure:  *
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