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Schedule a Visit


Fields marked with an asterisk (*) are required.
Personal Information
*
First Name:
*
Last Name:
 
Preferred Name:
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Gender:
Male Female
*
Date of Birth:
*
Address:
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City:
 
State, Zip:

 
Country:
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Phone Number:
 
Cell Number:
*
Email Address:

School/Church Information
 
High School Name:
 
High School City:
 
High School State:
 
High School Graduation Date:

 
Church Name:
 
Church City:
 
Church State:

Visitor Information The maximum number of nights a prospective student may stay in the residence halls is two. Day and overnight visitors are given a maximum of four meal tickets for themselves and their families who accompany them. Additional meal tickets may be purchased. All visit requests are not guaranteed and are subject to availability. An admissions counselor will contact you regarding your visit. Please do not make travel arrangements until an admissions counselor has confirmed your visit dates.

 
Parents/Other Guests:
 
Date(s) of Visit:
From
to
 
Arrival Time:
 
Departure Time:
 
Will a prospect be staying on campus overnight?
Yes No

Important: While you may visit during the day almost anytime, overnight stays are permitted only on Monday-Thursday evenings, and are limited to two consecutive days. Other blackout dates may apply. Please check with the Admissions office concerning availability.
 
Roommate Preference:
 
Overnight Location for Family:
 
Emergency Contact Name:
 
Emergency Contact Phone:

College Interests
 
Planned Enrollment Year:
 
Semester of Interest:
 
Major of Interest 1:
 
Major of Interest 2:
 
Experience while on campus:
(Choose all that apply)
Chapel
Tour of Campus
Meeting with Faculty
Coach Meeting
Music Audition

 
Extra-Curricular Interest:
(Choose all that apply)
Yearbook
Missions
Drama
Sports:
Voice
Instrumental:
ROTC:
Other:

Special Accommodations Any prospective student with a documented disability who would need an accommodation while visiting should contact the Admissions office at least three weeks in advance at (727)726-1153 ext. 220, by email at debbieedson@clearwater.edu or through this online Visit Form.

 
I would like to request the following accommodation to be available during my visit:

Comments
 
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