Wufoo

Name: * First Last
KSC Email: *

PLEASE NOTE: Double check your email address as this is how we will communicate with you.
Best phone/cell number to contact you: * ### - ### - ####
Please enter TODAY'S date: * MM / DD / YYYY
We need this to make sure we repond to your request in a timely manner - THANK YOU!
Name of your class: *
Class Code: *
Expected number of students: *
Building and room number where your class will be held: *
Preferred Class Date: * MM / DD / YYYY
If you have more than one class that you would like GEO to visit, complete a form for each class.
GEO Arrival Time on Preferred Date - (GEO prefers not to schedule visits between noon and 1 p.m. if possible.): * HH : MM : SS AM/PM
Alternate Class Date: * MM / DD / YYYY
Please note: these alternate date and time options are to expedite scheduling when we are unable to commit to your first choice.
GEO Arrival Time for Alternate Date - (GEO prefers not to schedule visits between noon and 1 p.m. if possible.): * HH : MM : SS AM/PM
Please note: these alternate date and time options are to expedite scheduling when we are unable to commit to your first choice.
Do you have a second class you would like us to visit?:
Name of your second class: *

PLEASE DO NOT REFERENCE ANY PRIOR ENTRIES, WE NEED THE FULL DETAILS. Thank You!
Second Class Code: *

PLEASE DO NOT REFERENCE ANY PRIOR ENTRIES, WE NEED THE FULL DETAILS. Thank You!
Expected number of students for your second class: *
Building and room number where your second class will be held: *

PLEASE DO NOT REFERENCE ANY PRIOR ENTRIES, WE NEED THE FULL DETAILS. Thank You!
Second Preferred Class Date: * MM / DD / YYYY
If you have more than one class that you would like GEO to visit, complete a form for each class.
Second GEO Arrival Time on Preferred Date - (GEO prefers not to schedule visits between noon and 1 p.m. if possible.): * HH : MM : SS AM/PM
Second Alternate Class Date: * MM / DD / YYYY
Please note: these alternate date and time options are to expedite scheduling when we are unable to commit to your first choice.
Second GEO Arrival Time for Alternate Date - (GEO prefers not to schedule visits between noon and 1 p.m. if possible.): * HH : MM : SS AM/PM
Please note: these alternate date and time options are to expedite scheduling when we are unable to commit to your first choice.
Do you have a third class you would like us to visit?:
Name of your third class: *

PLEASE DO NOT REFERENCE ANY PRIOR ENTRIES, WE NEED THE FULL DETAILS. Thank You!
Third Class Code: *

PLEASE DO NOT REFERENCE ANY PRIOR ENTRIES, WE NEED THE FULL DETAILS. Thank You!
Expected number of students for your third class: *
Building and room number where your third class will be held: *

PLEASE DO NOT REFERENCE ANY PRIOR ENTRIES, WE NEED THE FULL DETAILS. Thank You!
Third Preferred Class Date: * MM / DD / YYYY
If you have more than one class that you would like GEO to visit, complete a form for each class.
Third GEO Arrival Time on Preferred Date - (GEO prefers not to schedule visits between noon and 1 p.m. if possible.): * HH : MM : SS AM/PM
Third Alternate Class Date: * MM / DD / YYYY
Please note: these alternate date and time options are to expedite scheduling when we are unable to commit to your first choice.
Third GEO Arrival Time for Alternate Date - (GEO prefers not to schedule visits between noon and 1 p.m. if possible.): * HH : MM : SS AM/PM
Please note: these alternate date and time options are to expedite scheduling when we are unable to commit to your first choice.
Do you have a fourth class you would like us to visit?:
Name of your fourth class: *

PLEASE DO NOT REFERENCE ANY PRIOR ENTRIES, WE NEED THE FULL DETAILS. Thank You!
Fourth Class Code: *

PLEASE DO NOT REFERENCE ANY PRIOR ENTRIES, WE NEED THE FULL DETAILS. Thank You!
Expected number of students for your fourth class: *
Building and room number where your fourth class will be held: *

PLEASE DO NOT REFERENCE ANY PRIOR ENTRIES, WE NEED THE FULL DETAILS. Thank You!
Fourth Preferred Class Date: * MM / DD / YYYY
If you have more than one class that you would like GEO to visit, complete a form for each class.
Fourth GEO Arrival Time on Preferred Date - (GEO prefers not to schedule visits between noon and 1 p.m. if possible.): * HH : MM : SS AM/PM
Fourth Alternate Class Date: * MM / DD / YYYY
Please note: these alternate date and time options are to expedite scheduling when we are unable to commit to your first choice.
Fourth GEO Arrival Time for Alternate Date - (GEO prefers not to schedule visits between noon and 1 p.m. if possible.): * HH : MM : SS AM/PM
Please note: these alternate date and time options are to expedite scheduling when we are unable to commit to your first choice.
Do Not Fill This Out