Please complete this form two weeks prior to your visit to allow for proper accommodations.

Visits are on a first come, first serve basis. Available dates are listed in the drop down menu on the form below; therefore, if the date that you would like to visit is not listed, then we are already booked for that day.

Tour Date:		- Select One -February 1, 2012February 2, 2012February 8, 2012February 9, 2012February 15, 2012February 16, 2012February 22, 2012February 23, 2012March 7, 2012March 8, 2012March 14, 2012March 15, 2012March 21, 2012March 22, 2012March 28, 2012March 29, 2012April 18, 2012April 19, 2012April 25, 2012
Tour Time:		- Select One -10:30AM12:30PM
Group Name:
Group Members:		9th - 12th Graders Independent Counselor(s) Guidance Counselor(s) Other
Size of group (Maximum of 30 per group):
Number of Chaperones (If applicable):
Group Coordinator Contact Information
First Name:
Last Name:
Telephone:		( ) -
Fax:		( ) -
E-Mail Address:
School or Group Name:
Street Address:
City:
State:		- Select One -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington D.C.West VirginiaWisconsinWyoming
ZIP Code:
Preferred Method of Contact:		- Select One -TelephoneE-mail
15 Minute Pre-Tour Information Session:		Yes No
If you would like to enjoy a meal on our campus, please contact Lisa Gallagher, Director of Catering for Chartwells Higher Education at Sacred Heart University, at 203-396-8008 or email her at Chartwells-gallagherl@sacredheart.edu. She will be happy to assist you in planning your meal. When making your dining plans, please keep in mind that the tour will last for approximately one hour.