Primary Contact's First Name *

Primary Contact's Last Name *

Primary Contact's Email Address *

Primary Contact's Email Address (Confirmation) *

Primary Contact's Phone Number *

Secondary Contact's First Name

Secondary Contact's Last Name

Secondary Contact's Email Address

Secondary Contact's Email Address (Confirmation)

Secondary Contact's Phone Number

What grade level will you be bringing? *
- Select Option 8th Grade 11th Grade 12th Grade

School Name *
- Select Option Achieve Charter Academy Arbor Academy Black River Public School - Middle School Byron Center Charter School Canton Preparatory Middle School Chandler Woods Charter Academy Cornerstone Jefferson-Douglass Academy Covenant Schools Detroit - Spectrum Crossroads Charter Academy Middle School Detroit Achievement Academy Detroit Enterprise Academy Detroit Merit Charter Academy Detroit Premier Academy Detroit Prep East Arbor Charter Academy Endeavor Charter Academy Excel Charter Academy Flint Cultural Center Academy Fostering Leadership Academy GEE Compass Academy Grand River Academy Hanley International Academy Hillsdale Preparatory School Knapp Charter Academy Legacy Charter Academy Light of the World Academy Middle School Martin Luther King Jr. Education Center Academy Metro Charter Academy Michigan Math & Science Academy Middle School New Paradigm College Prep New Paradigm Glazer Academy Oakland Academy Paragon Charter Academy PrepNet Virtual Academy Middle School Reach Charter Academy South Canton Scholars Charter Academy The Greenspire School Timberland Charter Academy University Preparatory Academy Middle School UPrep Science & Math Middle School UPrep Art & Design Middle School Vanderbilt Charter Academy Vanguard Charter Academy Walker Charter Academy Warrendale Charter Academy Washington-Parks Academy West Michigan Academy of Arts and Academics Westfield Preparatory Middle School Windemere Park Charter Academy Not listed Please specify a value for School Name

School Name *
- Select Option Black River Public High School Byron Center Charter School Canton Preparatory High School Covenant High School Central Covenant High School East Covenant High School Grand Rapids Covenant High School Southwest Covenant Schools Detroit - Spectrum Crossroads Charter Academy High School GEE Compass Academy Grand River Preparatory High School Kalamazoo Covenant Academy Lincoln-King Adams-Young Academy High School Grove Campus Michigan Math & Science Academy Dequindre Muskegon Covenant Academy PrepNet Virtual Academy Saginaw Covenant Academy Taylor Preparatory High School The Greenspire High School UPrep Science & Math High School University Preparatory Academy High School UPrep Art & Design High School West Michigan Aviation Academy Westfield Preparatory High School

Approximately how many students will be attending? (Maximum of 75) *
- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75

Approximately how many chaperones will be attending? *
- 1 2 3 4 5 6 7 8 9 10

Before selecting a date, please be sure to check your school's academic calendars for any conflicts. (ex. testing dates, breaks, professional development days, other field trips, etc.)

Which date(s) would you prefer to visit GVSU? Please select more than one available option if possible. (Dates may be removed once the spots are filled) *
Wednesday, September 18th, 2024
Wednesday, September 25th, 2024
Wednesday, October 2nd, 2024
Wednesday, October 9th, 2024
Wednesday, October 16th, 2024
Wednesday, October 23rd, 2024
Wednesday, October 30th, 2024
Wednesday, November 6th, 2024
Wednesday, November 13th, 2024
Wednesday, November 20th, 2024
Wednesday, December 4th, 2024
Wednesday, December 11th, 2024

GVSU will reimburse up to $1,000 in transportation costs. Will you require bus reimbursement? *
- Select Option Yes No