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English Proficiency
Application Deadlines
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The University of Utah
Outreach Request
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Important:
This form is
intended
for use by
school counselors
and
community-based organization staff
only.
Prospective students
should
visit our general contact page
for assistance. Thank you!
Thank you for your interest in hosting a visit from one of our admissions representatives. We’re excited about the chance to connect with your students and share the many opportunities available at our institution. To request a visit, please complete the form below. Once submitted, your assigned admissions representative will follow up to confirm the details and coordinate the visit.
Requester Information
Tell us who you are and where the visit will take place.
First Name
Last Name
Email Address
Phone Number
Are you requesting on behalf of a school?
Are you requesting on behalf of a school?
Yes
No
Contact Type
Community Based Organization Representative
Community Partner Contact
School Counselor
Independent Counselor
School Scheduling Contact
(hidden) Device Type
Email Address
Evening Phone
Mobile Phone
Primary Phone
Umail Address
School Information
School Name
School CEEB Code (if applicable)
Admissions Rep From Parent Key (CEEB Code) HIDDEN
School District (if applicable)
School Address
School Address
Country
Street
City
Region
Postal Code
School Type
Public
Private
Charter
Other
Event Details
Let us know what kind of visit you're looking for and when you'd like it to happen.
Event Title
Type of Visit Requested
Type of Visit Requested
High School Visit/Event
Transfer Student Event
College Fair
Campus Tour
Virtual Session
Counselor Event
Other
Other
Date
Date
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2025
2026
Time
Brief Description of Event
Audience & Participation
Help us tailor the visit to your students’ needs.
Audience Types
Audience Types
High School Students
Middle/elementary School Students
Transfer Students
High School Counselors
Parents/Families
Other
Other
Estimated Number of Attendees
Share any themes or topics your students are especially interested in. Let us know if there are specific subjects you'd like us to focus on.
Student Interests or Focus Areas / Topics You’d Like Covered
Logistics
Provide details to help us plan a smooth visit.
Venue Address
Venue Address
Country
Street
City
Region
Postal Code
Visit Location
Technology Available
Technology Available
Projector
Wi-fi
Microphone
Parking or Check-in Instructions
Security or Visitor Protocols
Confirmation & Follow-Up
Preferred Contact Method
Preferred Contact Method
Email
Phone
Additional Notes or Special Requests
By submitting your information, you agree to receive emails and other communications from the University of Utah. You can unsubscribe/opt-out at any time.
Submit