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CBO Visit Request Form
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If you would like to schedule a virtual or in-person visit with the University of Georgia, please enter your Community Based Organization's information below.
Organization Name
Key
Federal Employer Identification Number (EIN)
Population Served
Population Served
All students
Elementary school students
First Generation
High school students
Homeless
Low-Income
Middle school students
Racially Underrepresented
Website
Address
Address
Country
Street
City
Region
Postal Code
Primary Contact
Primary First Name
Primary Last Name
Primary Contact Role
Board Member
Executive Director
Program Director/Coordinator
Referrer
Scheduler
Other
Primary Contact Title
Primary Contact Email
Primary Contact Phone Number
Preferred Day and Time
Who is this visit for?
Who is this visit for?
Individual Meeting with CBO Contact
Group of My Students
How many students will be participating?
Are you requesting a virtual visit or in-person visit?
Are you requesting a virtual visit or in-person visit?
Virtual
In-person
Please note that in-person visits are hosted at your location and can be scheduled by completing this form. Requests to bring a group to
UGA's campus
can be
requested here
.
What day(s) of the week are best?
What day(s) of the week are best?
Monday
Tuesday
Wednesday
Thursday
Friday
What timeframe(s) are preferred?
What timeframe(s) are preferred?
Morning (8:00-10:00 AM ET)
Midday (10:00 AM - 12:00 PM ET)
Afternoon (12:00 PM - 3:00 PM ET)
Evening (3:00 PM - 7:00 PM ET)
Anytime
Please note that the visit request appointment is not yet confirmed. Upon completion of this form, a UGA representative will be in contact to confirm a date/time.
When would you like to have this visit by?
Please provide additional context regarding your request for a visit:
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