Berea College - Prospective Students - Campus Visit Request Form

Interview Reservation Form

Section 1: Interview Prerequisites

Please confirm that the student for whom a reservation is being made is a Berea College applicant:	Yes, this student is an applicant.

If not, please complete our Prospective Student Campus Visit Request Form.

Are you aware of Berea's academic requirements and/or student profile?	*

Are you aware of Berea's financial need requirement?	*

Section 2: Applicant Information

Student's First Name:	*
Student's Middle Name:
Student's Last Name:	*

Student's Date of Birth:	*

Section 3: Contact Information

Name of person to be contacted in order to confirm visit arrangements:	*
Contact's relationship to student:
Contact's phone number:	*
In what time zone is this number?	*
Contact person's e-mail:

Section 4: Request an Interview Reservation Date

Day of Your Visit
In order to ensure that we have enough time to plan for your visit to campus, please request your preferred interview date(s) at least one week in advance:

Fall, 2007 Interview Schedule

Summer, 2008 Weekdays, June 4th - July 29th

Month Date Year

1st Choice ,

2nd Choice ,

3rd Choice ,