Campus Visit Request Form
| Personal Information | |
| First name: |
Middle Initial |
| Last name: | |
| Address: | |
| City: | |
| State: | |
| Zip: | |
| Phone: | (required) |
| E-mail: | |
| High School/College currently attending: | |
| Year of HS graduation: | |
| Gender: |
Female Male |
| I am a: |
Senior Junior Sophomore College Transfer |
| Anticipated major or areas of interest: |
|
| Visit Information: | |
| Type of visit: |
Overnight Day Visit |
| I would like to room with a friend coming with me: | |
| I would like to room with this Westmont host: | |
| Visit Date: |
|
| Campus Visit Date: | Month: Day: Day of Week- |
| Transportation: Westmont provides transportation to the campus from select locations. |
|
| In the opposite box, please indicate if you will need transportation to Westmont from one of these local facilities: | None needed Amtrak Santa Barbara Airbus Santa Barbara Airport Greyhound Bus |
| Number of family members who will accompany me: | (Note: high school age siblings should complete their own registration form) |