West Virginia State University

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First Name:

Last Name:

Address 1:

Address 2:

City :

State:

U.S. ZIP code:

U.S. phone number:

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Email:

Group Name :

For Example: Upward Bound

How many guests will be in your group?:

Classification: Please enter what grade you are currently in:

Major:

Sports:

Extracurricula Activities:

What day are you planning to visit?:

Campus tours are available Monday through Friday only. Please enter the month, day, and year as follows 08/22/2018 .

What time are you available?:

10:00 a.m. Monday-Friday Only
2:00 p.m. Tuesday, Thursday, & Friday Only

Would you like to audit a classroom?:

Yes
No

Would you like to dine on campus?:

Yes
No

*For dining details please contact our Food Service Coordinator Mrs. Pamela Rectenwald at (304) 766-3357 or pamela.rectenwald@thomashospitality.com

Do you have any physical provisions?:

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