Individual Visit

Please tell us about yourself

First Name

Preferred First Name (if different than legal first name)

Last Name

Email Address

Mobile Phone Number

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

To help us understand how best to serve prospective students, please select your preferred ways of communicating during your college search.

Email

Text

Phone

Other

If other, please explain

Name of High School or College

CEEB Code

Please tell us about your academic interests

Intended Start Term

Program of Interest

Student Type

Are you interested in an Integrated Graduate Degree Program (3+2)?

Yes

No

Please select your Integrated Graduate Degree Program (3+2) of interest

Please tell us about your extra-curricular interests

Are you interested in the Honors Program?

Yes

No

Are you interested in playing a sport at Chatham?

Yes

No

I am interested in the following club or student organization (Select all that apply CTL+)

Please select your instrument

Please select your voice

Sport of Interest

Please answer the following questions to help us customize your visit

How many guests will be attending with you?

Guest #1 Full Name

Guest #1 Email Address

Guest #1 Mobile Phone Number

Guest #1 Relationship

If other, please explain

Guest #2 Full Name

Guest #2 Email Address

Guest #2 Mobile Phone Number

Guest #2 Relationship

If other, please explain

Guest #3 Full Name

Guest #3 Email Address

Guest #3 Mobile Phone Number

Guest #3 Relationship

If other, please explain

Guest #4 Full Name

Guest #4 Email Address

Guest #4 Mobile Phone Number

Guest #4 Relationship

If other, please explain

Guest #5 Full Name

Guest #5 Email Address

Guest #5 Mobile Phone Number

Guest #5 Relationship

If other, please explain

Will you be missing classes and require an official school absence form?

Yes

No

Will you or any of your guests need disability-related accommodations?

Yes

No

If yes, please explain:

To help us plan your visit, how much time do you have available to spend with us during your visit?

30 min - 1 hour (admission meeting or tour only)

1 - 2 hours (admission meeting and tour)

2+ hours (admission meeting, tour, additional meetings)

Let us know if you would like to experience any of the following activities while visiting Chatham: (NOTE: We may need about two weeks notice if you wish to participate in the following experiences. These activities are scheduled based on faculty and staff availability as well as the academic calendar and syllabus schedule. Some items are not available on weekends and are limited during the Summer terms).

Eastside Location Tour (Interior Architecture and Graduate School of Health Sciences: PA, DPT, OTD, Psychology)

Shadyside School of Nursing Tour (Nursing Programs)

Would you like to request a meeting with an athletic coach in your sport of interest?

Yes

No

Additional comments, questions, or things you would like to learn more about:

Individual Visit

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