Tertiary (alt) - California Baptist University

If you see this don't fill out this input box.

*School or Group Name

*School Address

*City

State

*Zip

*Contact Name

*Contact Email Address

*Contact Phone Number

Contact Cell Phone

*First Desired Visit Date

*Second Desired Visit Date

*Anticipated Arrival Time

Have You Been in Contact with Another Office/Department Regarding a Visit to CBU?

YesNo

If Yes to the Above Question, Who Did You Contact?

*Number of Students

*Number of Chaperones

Additional Comments

Grade Level(s) of Students Attending

*We would like to request to eat in the Alumni Dining Commons as part of our Campus Visit

YesNo

How Did You Hear about Our Group Visits?

If You Answered "CBU Staff/Faculty" and/or "Other" Above, Please Tell Us More:

*Multi-Select

Lorem ipsum dolor sit