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Merrimack College
Group Visit Request Form
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After submitting this form we will review your request and respond to you within a few days regarding your inquiry.
Please note: we require at least two weeks notice for all group visit requests.
*denotes required field
Contact Information
Requestor First Name*
Requestor Last Name*
Requestor Job Title*
Requestor Email Address*
Requestor Cell Phone Number*
Is the day-of visit primary contact different from the requestor contact information?*
Is the day-of visit primary contact different from the requestor contact information?*
Yes
No
Day-of Primary Contact First Name*
Day-of Primary Contact Last Name*
Day-of Primary Contact Job Title*
Day-of Primary Contact Email Address*
Day-of Primary Contact Cell Phone Number*
Institution/Organization Name*
Mailing Address*
Mailing Address*
Country
Street
City
Region
Postal Code
Visit Information
Please note: all of our group visits begin at 9:30am.
Preferred Visit Date 1st Choice*
Preferred Visit Date 1st Choice*
January
February
March
April
May
June
July
August
September
October
November
December
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2
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4
5
6
7
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9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
Preferred Visit Date 2nd Choice
Preferred Visit Date 2nd Choice
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
How will you be arriving to campus?*
How will you be arriving to campus?*
Car(s)
Bus
Van
Estimated total number of students?*
Please note that we will request final group size one week prior to your visit, if approved.
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50+
Total Number of Chaperones?*
Please note that we require at least a 10:1 student to chaperone ratio.
1
2
3
4
5
6
7
8
9
10
Chaperone 1 (Name)*
Chaperone 1 (Cell Phone Number)*
Chaperone 2 (Name)*
Chaperone 2 (Cell Phone Number)*
Chaperone 3 (Name)*
Chaperone 3 (Cell Phone Number)*
Chaperone 4 (Name)*
Chaperone 4 (Cell Phone Number)*
Chaperone 5 (Name)*
Chaperone 5 (Cell Phone Number)*
Chaperone 6 (Name)*
Chaperone 6 (Cell Phone Number)*
Chaperone 7 (Name)*
Chaperone 7 (Cell Phone Number)*
Chaperone 8 (Name)*
Chaperone 8 (Cell Phone Number)*
Chaperone 9 (Name)*
Chaperone 9 (Cell Phone Number)*
Chaperone 10 (Name)*
Chaperone 10 (Cell Phone Number)*
What grade(s) are the students in? (Please select all that apply)*
What grade(s) are the students in? (Please select all that apply)*
Current College Students/Prospective Transfer Students
High School Seniors (12th Grade)
High School Juniors (11th Grade)
High School Sophomores (10th Grade)
High School Freshmen (9th Grade)
What is the goal of your group visit to Merrimack College? (select all that apply)*
What is the goal of your group visit to Merrimack College? (select all that apply)*
Introduction to college search and application process broadly
Campus visit for students who have already applied or expressed interest in applying to Merrimack College
Campus visit for students who have already been admitted to Merrimack College
Please tell us about your student population (for example: academic interests, support services, and other resources that may be relevant to your student population)*
Submit