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Lewis & Clark
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Graduate Admissions Visit Request Form
Use this form to request a meeting with a Graduate Admissions representative. You can request a graduate campus tour, phone meeting, or virtual meeting. Visits are available during business regular business hours: Monday - Friday, 9:00 am - 4:30 pm.
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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:
Please send me text messages about the Graduate School of Education & Counseling:
Yes
No
Birthdate (used for matching purposes only)*
Birthdate (used for matching purposes only)*
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Race/Ethnicity
(Optional)
Are you Hispanic or Latinx/a/o?
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:
Please check
one or more
of the following groups in which you consider yourself to be a member:
Alaska Native
American Indian
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Choose Not to Answer
Personal Pronouns
(Optional)
What pronouns do you use?
What pronouns do you use?
She/Her/Hers
He/Him/His
She/They
He/They
They/Them/Theirs
Ze/Hir/Hirs
Choose Not to Answer
Current admissions status:*
Current admissions status:*
Admitted student
Applicant
Prospective student
Academic Interest
Program of Interest 1:*
Eating Disorders Certificate
Ecotherapies Certificate
Art Therapy (MA)
Marriage, Couple, and Family Therapy (MA)
Professional Mental Health Counseling (MA)
Professional Mental Health Counseling - Addictions (MA)
Educational Leadership in PK12 (EdD)
Educational Leadership in Higher Education Student Affairs (EdD)
Educational Administration (EdS, MEd, License only)
Student Affairs Administration (MA)
School Counseling (MED and License only)
School Psychology (EDS)
Teaching: Elementary -- Multiple Subjects (MAT)
Teaching: Secondary (MAT)
Teaching: Secondary -- Art (MAT)
Teaching: Secondary -- English Language Arts (MAT)
Teaching: Secondary -- Mathematics (MAT)
Teaching: Secondary -- Science (MAT)
Teaching: Secondary -- Social Studies (MAT)
Teacher Pathway (for Lewis & Clark Undergraduate Students)
Educational Leadership and Administration: PK-12
Curriculum and Instruction with Endorsement (MEd)
Endorsement programs for licensed teachers
Program of Interest 2 (optional):
Eating Disorders Certificate
Ecotherapies Certificate
Art Therapy (MA)
Marriage, Couple, and Family Therapy (MA)
Professional Mental Health Counseling (MA)
Professional Mental Health Counseling - Addictions (MA)
Educational Leadership in PK12 (EdD)
Educational Leadership in Higher Education Student Affairs (EdD)
Educational Administration (EdS, MEd, License only)
Student Affairs Administration (MA)
School Counseling (MED and License only)
School Psychology (EDS)
Teaching: Elementary -- Multiple Subjects (MAT)
Teaching: Secondary (MAT)
Teaching: Secondary -- Art (MAT)
Teaching: Secondary -- English Language Arts (MAT)
Teaching: Secondary -- Mathematics (MAT)
Teaching: Secondary -- Science (MAT)
Teaching: Secondary -- Social Studies (MAT)
Teacher Pathway (for Lewis & Clark Undergraduate Students)
Educational Leadership and Administration: PK-12
Curriculum and Instruction with Endorsement (MEd)
Endorsement programs for licensed teachers
When do you plan to attend Lewis & Clark?*
Summer 2023
Fall 2023
Spring 2024
Summer 2024
Fall 2024
Spring 2025
Summer 2025
Fall 2025
Visit Information
Please select a date at least two (2) business days from today's date.
Preferred method of meeting:*
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):*
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):
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
Submit