Counselor Visit Request Form

Thank you for your interest in scheduling a Muhlenberg College visit! We are looking forward to hosting you on campus. Please complete the form below and we will reach out to you regarding the visit opportunities that are available during your requested date/time.

Looking to schedule a group visit? Please see the Group Visit Request Form.

First Name

Preferred Name

Last Name

Title

Email Address

Mobile Phone Number

Do you consent to receive text messages from Muhlenberg College? You may reply STOP at any time to unsubscribe. Msg & Data rates may apply.

Yes

No

School/Organization Name
Please begin typing your school's name and select from the list
Independent Counselors, please type and select Independent Counselor from the list

CEEB Code (auto-populates)

CBO Name

Date of your requested visit? (visits offered Monday through Friday)

Expected Arrival time?

AM

PM

Please indicate if you or someone accompanying you may need special assistance for accessibility or dietary concerns

Admissions

Counselor Visit Request Form

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