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Campus visit request form
Please complete all compulsory
*
fields.
Booking form
Which campus would you like to visit?
*
Colchester Campus
Southend Campus
Select a visit type
Choose your preferred date from the
selection available
. (dd/mm/yyyy)
*
Date required
School details
Name of contact:
*
Contact name required
School name:
*
School name required
Address:
*
Address required
Postcode:
*
Postcode required
Direct email address:
*
Email address required
Direct phone number:
*
Contact number required
Student details
Year group:
*
Year required
Number of students:
*
Number of students required.
What qualification(s) are the students studying for? (6th form & college only)
*
A-levels
BTECs
IB
Mixed
Qualification(s) studying for required
How have the students been selected for this visit? e.g. form group, year group, targeted scheme
*
Selection method required
Have your students visited a university before?
*
Yes, Essex Colchester campus
Yes, Essex Southend campus
Yes, other HEI
No
Answer required
Visit arrangements
Mode of transport
*
Cars
Coach
Minibus
Students making their own way
Train
Walking
Transportation details required
What are your aims for the day?
*
Details of days aim required
Is there any additional information we should be aware of? e.g access requirements, special requirements
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