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 our point of contact and will be added to our counselor database.Last nameFull name (hidden)Email addressDevice type (Hidden)Primary PhoneAlternate PhoneMobile PhoneAlternate Mobile PhoneEvening PhoneEmail AddressCampus Email AddressEmail Address (Hidden)I am a...CounselorSchool StaffTeacherCommunity-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 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.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.1:15-2:00 pm3:15-4:00 pmPlease 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?Does the majority of your group attend a school outside of the US?YesNoWhat are the grade levels of the students attending? Check all that apply.What are the grade levels of the students attending? Check all that apply.Middle schoolFreshman - 9th gradeSophomore - 10th gradeJunior - 11th gradeSenior - 12th gradeCommunity CollegePlease note that there is a maximum capacity of 49 total guests for group visits. Number of students attendingNumber of chaperonesAny additional comments:Day-of-Event point of contactThis 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 nameContact cell phone numberSubmit