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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
Ending Time*

: HH

MM
Number of Students*
Product Name
Price: $0.00
Requested Topics to be Covered*

Classroom Visit Request

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
Ending Time*

: HH

MM
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