Counselor Visit Request Form

Required fields are marked with an asterisk (*).

Contact Details

First Name*

Last Name*

Email*

Phone*

Title

Full Name

Name of School

CEEB Code

Visit Details

Number of counselors attending?*

Type of counselor?*

If other, please describe.

Have you previously visited Western New England University's campus?*

Yes

No

Does anyone in your group require additional assistance or handicap access?*

Yes

No

What program(s) are you interested in? Select all that apply.*

If other, please describe.

Request Dates & Times

Please provide at least 2 dates in order of preference. We will do our best to accommodate your first choice, however we are unable to accommodate group visits on certain special programming days, days with a high volume of visitors, weekends, or holidays. Please note that due to tour guide availability, group visits are scheduled Mondays through Fridays only, with tour times at 9 am, 11:30 am or 2 pm.

1st Choice Date*

1st Choice Time*