Virtual College Visits Recording Request Form

2023 Virtual College Visit Request Form

First Name *

Last Name *

The purpose of this form is to identify any educators that are interested in receiving a recording any of the Virtual College Visits. The Education Alliance will work to ensure that any middle school educator has a chance to facilitate these Virtual College Visits to students in West Virginia.

Email *

I understand that I will receive a Survey link which must be completed after viewing each College Visit Recording with my students to enable The Education Alliance to meet its data requirements. *

Yes

No

Prefix

First Name *

Last Name *

Phone *

County *

School Name *

My Role: *

Teacher

Counselor

Principal/Administrator

Parent

I wish to receive access to view the following Virtual College Visits Recordings (check all that apply)

How many students do you estimate will watch the college visit recording?

I understand that by requesting these recordings, I am opting-in to receive future emails from The Education Alliance. *

Yes, I agree.