First Choice:
Date of Visit: Day Monday Tuesday Wednesday Thursday Friday Month January February March April May June July August September October November December Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 29 30 31
Second Choice:
Student Classification High school student Currently attending college Name of school attending Previous school attended Student Information
First Name: Last Name: MI: Birthday: (ie: mm/dd/yyyy) Address: City: State: Zip: Phone:
E-mail:
Graduation Date: Month January February March April May June July August September October November December Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 29 30 31 Year:
Intended Major: Please provide a daytime phone number:
Person to ask for at this number, if different than name given above:
Your walking tour begins with a look at key buildings across campus. If you would like to speak with an individual department please let us know and we can schedule you an appointment before or after your campus tour.
If you have previously requested materials, applied for admission, applied for federal financial aid, or had ACT/SAT scores sent to Chattanooga State, we may have already established an account for you in our data base. Please help us avoid account duplication by providing additional information that might assist us in our search ( i.e. previous name, nickname, etc.)
Are you interested in visiting with a representative from one of the following areas? (For more information click on the hyperlink)
Management General Management Health Services Management Small Business Management Media Technologies Web Design Concentration Graphic Design Concentration Mass Communication Concentration Information Systems Technology End User Support Network Management Programming Realtime Reporting Broadcast Captioning Judicial Reporting CART Reporting
Management General Management Health Services Management Small Business Management
Media Technologies Web Design Concentration Graphic Design Concentration Mass Communication Concentration
Information Systems Technology End User Support Network Management Programming
Realtime Reporting Broadcast Captioning Judicial Reporting CART Reporting
Electrical/Electronic Engineering Technology Automated Controls Computer Systems Networking Technology Engineering Technology Civil Engineering Technology Manufacturing Engineering Technology Mechanical Engineering Technology Industrial Maintenance Technology Chemical Electromechanical
If interested in Music Program, please choose from the following: Vocal (List Instrument) Instrumental Professional Actor Training Reading Speech Transitional Studies Visual Arts
If you have any questions or need any additional information before you visit, please indicate in the box below:
Please complete the entire form to reserve your campus visit date.
