Career Center Orientation Request (SU-17)

Career Center Orientation Request (at Career Center)

Form used to bring a class to the Career Center (SU-17) for Orientation.

• Course Title and Number*
  For Example: COUN 165
• Instructor*
• Phone (Palomar Extension)*
• Email*
• Date Requested*
  Date Format: MM slash DD slash YYYY
• Beginning Time*
  : HH

  MM

  AM PM
• Ending Time*
  : HH

  MM

  AM PM
• Number of Students*
• Product Name
  Price: $0.00
• Requested Topics to be Covered*

Classroom Visit Request (Career Center Team Member to your classroom)

Class Visit Request (in classroom)

This form is to be used when you are requesting a Career Center representative visit your classroom for an orientation of available resources.

• Instructor*
• Course Title and Number*
  For Example: COUN 165
• Email*
• Phone (Palomar Extension)*
• Phone - Alternate
• Date Requested*
  Date Format: MM slash DD slash YYYY
• Classroom Number*
  e.g. SU-17
• Beginning Time*
  : HH

  MM

  AM PM
• Ending Time*
  : HH

  MM

  AM PM
• Requested Topics to be Covered*
• Number of Students*
• Product Name
  Price: $0.00

If you would like a Team Member to visit your classroom for a Career Center Orientation.

*Instructor must be present during all presentations