Graduate Admissions Visit Request Form

Personal Information

Last/Family Name*

First Name*

Nickname/Preferred name

Email Address*

Mobile Phone*

Please send me text messages about the Graduate School of Education & Counseling:

Yes

No

Birthdate (used for matching purposes only)*

Race/Ethnicity (Optional)

Are you Hispanic or Latinx/a/o?

Yes

No

Please check one or more of the following groups in which you consider yourself to be a member:

Personal Pronouns (Optional)

Current admissions status:*

Admitted student

Applicant

Prospective student

Academic Interest

Program of Interest 1:*

Program of Interest 2 (optional):

When do you plan to attend Lewis & Clark?*

Visit Information

Please select a date at least two (2) business days from today's date.

Preferred method of meeting:*

Phone meeting with Admissions

Grad Campus Tour

Virtual meeting with Admissions

We encourage prospective students to sign up for a graduate campus tour with our Program Ambassadors. Program Ambassadors are current graduate students that are available to answer questions and share information about their graduate school experience.

If you are unable to attend a tour with an ambassador, please continue filling out the form and a Graduate Admissions representative would be happy to meet with you!

Visit Date - First Choice*

Preferred time (note this will be based on Pacific Standard Time):*

Morning 9-11am (PST)

Mid-day 12-2pm (PST)

Afternoon 2-4pm (PST)

Visit Date - Second Choice

Preferred time (note this will be based on Pacific Standard Time):

Morning 9-11am (PST)

Mid-day 12-2pm (PST)

Afternoon 2-4pm (PST)

We provide complimentary parking passes for our visitors. If you are planning to drive to campus please provide your car information below and we will register your car for a virtual parking permit for your visit.

Car make:

Car model:

License plate number:

Please provide a brief explanation of what you would like to discuss with a Graduate Admissions representative*

*Indicates required field