Prospective Undergraduate Student - Visit to CBC Request

Your name:

Your email address:

A phone number where you can be reached during the day:

What is your intended major?

Biochemistry

Chemistry

Will you be an honor student at the University of Arizona?

Yes

Name of the high school you are currently attending:

If not in Arizona, where is your high school located?

Are you a junior or senior?

Junior

Senior

Date & time you wish to schedule your visit:

Please indicate an alternate date and time for your visit:

Is your start time flexible?

Yes

Special requests: