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Online Tour Reservation Form

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Today's Date:
Name of Requestor/High School:
Name of Contact Person:
Contact Person's Phone Number :
Contact Person's Email Address (required):
Number in Tour Group :
Select Campus:	MLK Campus SWC Campus
Date of Tour :	Please use the calendar at the top of this form to select the date of tour.
Select Time:	MLK - 10:00 AM MLK - 2:00 PM
What department interests you? (Select one)	Allied Health Automotive Technology Behavioral Sciences Business Information Solutions Early Childhood Studies Electronics & Information Technology English and Speech Fine Arts Kinesiology Liberal Arts Mathematics Natural Sciences Nursing Education Reading, Education & Foreign Language Social Sciences Tourism,Hositality & Culinary Arts
What program interests you? (Select one)	Computed Tomography Magnetic Resonance Imaging Health Information Technology Histology Medical Laboratory Technology Medical Transcription Occupational Therapy Assistant Physical Therapist Assistant Phlebotomy Radiography Respiratory Therapy Sonography Surgical Technology