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Schedule a Shadow Visit

Please complete the form below. Required fields marked with an asterisk *

Student First Name*

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Student Last Name*

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Current Grade*

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Current School*

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Request Shadow Date*

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Academic Interests

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Extracurricular Activities/Sports Interests

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Additional Comments/Questions

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Is the student related to a DeSales graduate? If so, please list the graduate and his relationship to the student.

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Parent Information

First Name*

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Last Name*

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Would you like a follow up call from a DeSales representative to answer questions or set up a personal tour?

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Yes

Parent Contact Information

Email 1*

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Mobile Phone*

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Home Phone

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Street Address*

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City*

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Zip/Postal*

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Confirmation Email

Enter your email address here if you'd like to receive a confirmation upon submitting the form.

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