On-Campus Group Presentation Request

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 contact

First name
Note: This person will serve as our point of contact and will be added to our counselor database.

Last name

Email address

I am a...

School/Organization name

Location

Country

City

Region

Postal Code

Event logistics

What is the requested date of the event?
Please make your request as early as possible, at least one month in advance.
(We currently offer sessions on Mondays, Tuesdays, Thursdays, and Fridays)

We do our best to accommodate your first choice, but please provide an alternate date should your first choice be unavailable.
(We currently offer sessions on Mondays, Tuesdays, Thursdays, and Fridays)

Preferred time of event:
Check all that apply.

12:15-1 p.m.

1:45-2:30 p.m.

3:45-4:15 p.m.

Please provide a description of what you hope to gain while on campus (e.g. an admission presentation, a transfer student panel, etc.)

Does the majority of your group attend a school outside of the US?

Yes

No

What are the grade levels of the students attending?
Check all that apply.

Please note that there is a maximum capacity of 49 total guests for group visits.

Number of students attending

Number of chaperones

Any additional comments:

Day-of-Event point of contact

This person should accompany students to the event on the day of.
Admissions staff may need to contact your group, so the point of contact should be available.

Please note this may or may not be the same as the above point of contact.

Contact name

Contact cell phone number