On-Campus Group Presentation RequestLoading...Please use this form to request an on-campus presentation/event at UC Berkeley. Please Note: This is a request and not a confirmation. Requests need to be submitted at least one month in advance.Point of ContactFirst Name Note: This person will serve as UCB's point of contact AND will be added into our counselor database.Last NameFull name (hidden)Email AddressI am a...CounselorTeacherCommunity-Based Organization RepresentativeIndependent ConsultantSchool/Organization NameSchool CEEB (Hidden)LocationLocationCountryCityRegionPostal CodeEvent LogisticsWhat is the requested date of the event? Please make your request as early as possible, at least one month out.(Currently offering sessions on Mondays, Tuesdays, Thursdays, and Fridays)We will try our best to accommodate your first choice, but please provide an alternate date should the requested day be unavailable.(Currently offering sessions on Mondays, Tuesdays, Thursdays, and Fridays)Preferred time of event:Check all that apply.Preferred time of event:Check all that apply.12:15pm-1:00pm1:45pm-2:30pm3:45pm-4:15pmPlease provide a description of what you are hoping to get while on campus (i.e. an Admission presentation, a Transfer student panel, etc.)What is/are the grade level(s) of the students attending? Check all that apply.What is/are the grade level(s) of the students attending? Check all that apply.Middle schoolFreshman - 9th gradeSophomore - 10th gradeJunior - 11th gradeSenior - 12th gradeCommunity CollegeNumber of students attending (max 50)Number of chaperones/adults attendingAny additional comments...Day-of-Event Point of ContactThis person should be accompanying the students to the event on the day-of. Admissions staff may need to contact your group and the below Point of Contact should be available. Note this may or may not be the same as the above Point of Contact.Contact NameContact Cell Phone NumberSubmit