Group Visit Request Form

I have read and understood the above statements.

Yes

No

Contact Information

First Name

Last Name

Email Address

Cell Phone (Day of Visit Contact)

Cell Phone (Coordinator Contact)

What type of Organization are you associated with?

Business

School

Group Information

Business or Organization Affiliate (Begin typing to search for your school and click the school name when you find it!)

Type of Students

High School

College

Middle School

Group Information

School or School Affiliate (Begin typing to search for your school and click the school name when you find it!)

Type of Students

High School

College

Middle School

Type of Students

Purpose of Group Visit

Visit Information

Option 1: Please use the calendar widget to select a group visit date.

Option 2: Please use the calendar widget to select another group visit date option.

Group visits are typically 90 minutes long. Please indicate which time slot works best for your group. These two times are ideal based on our staff/student ambassador schedules.

9:30 AM - 11:00 AM

1:00 PM - 2:30 PM

Size of group including chaperones (Max of 45 people)
We require a minimum of 2 chaperones per every 20 students.

Lunch options are available at our new Terrace Dining Pavilion from 11am - 1pm.

For our dining staff to prepare for your visit, please confirm your dining needs below:

Lunch options are available at our new Terrace Dining Pavilion from 11am - 1pm.

For our dining staff to prepare for your visit, please confirm your dining needs below:

My group WILL be dining on-campus

My group WILL NOT be dining on-campus

How many members of your group will be dining at the Terrace Dining Pavilion?
(Max of 45 people)

A campus tour and information session are included with the group visit. Do you wish to have both?

Yes

No

Is there anything specific you wish to include in your visit or special requests that we may take into consideration?

Will you need parking for a school or charter bus?

Yes

No

If you are traveling by bus, please have the bus driver drop off your students at Beardslee Blvd & 108th Ave NE, Bothell, WA 98011 a bus stop closest to Summit Hall. Please be aware that there is ongoing construction around our building. After students are dropped off, the bus can be parked across from the Chase House, located at the south end of campus.

Please let us know if you will be needing any additional assistance with access needs or disability accommodations?
(This section is reserved for ADA requests only)

You will receive a confirmation email after you submit this form. If you have questions or comments that were not addressed on the form, please reply to the confirmation email from uwbvisit@uw.edu.

UW Bothell Application Portal

Group Visit Request Form