Roo Visit for Groups: Special Request Form

Select the reason(s) for your special request.

None of the listed times work for my group.

There are no more group visit dates available.

I am interested in workshops for my students.

Please fill out the following information for the primary point of contact at your school or organization. All communications will be sent to the email address listed.

Counselor Information

First Name

Last Name

Title

Email Address

Phone Number

School or Organization Name

Group Information

Workshop Information

Where would you like the workshop to take place?

UMKC

Your Organization's Location

What grades are your students in?

Ninth

Tenth

Eleventh

Twelfth

What kind of workshop would you like for you students?

College Prep

Maximizing College and Scholarship Applications

FAFSA Help

Affinity Group Programming (Girls Day and Boys of Color Day)

Approximately how many students would attend the visit?

Please indicate three dates that work best for your visit below.

Group visits typically last 90 minutes
Visits must be scheduled at least two weeks in advance

Please indicate three dates that work best for a workshop below.

Workshops typically last 90 minutes
Workshops must be scheduled at least two weeks in advance

DeletePreferred date _ID_
Date Date

Add another date

What is your preferred time frame?

If applicable, please describe your group's special request. We will respond to you as quickly as possible to address your request.

If applicable, please describe your workshop request. We will respond back to you as quickly as possible to address your request.

University of Missouri-Kansas city

Roo Visit for Groups: Special Request Form