Online Degree Completion Class Visit Form Let us know your preferences for a virtual class visit. Student InformationFirst NameLast NamePreferred First NamePronounsPhone NumberEmail AddressBirthdateBirthdateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember123456789101112131415161718192021222324252627282930312026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Mailing AddressMailing AddressCountryStreetCityRegionPostal CodeAcademic InformationStudent TypeComplete DegreeStart TermFall 2026Fall 2027Spring 2025Spring 2026Spring 2027Summer 2026Summer 2027Prospective major/program of studyApplied PsychologyBusiness and ManagementComputer ScienceGeneral StudiesHealth Care Policy and ManagementHuman ServicesPublic HealthSocial Work1st Class Shadowing PreferenceLDR201: Gender and Leadership (Wednesday)PH101: Introduction to Public Health (Thursday)PH241: Health, Illness & Society (Tuesday)SW101: Introduction to Social Work and Social Welfare (Tuesday)2nd Class Shadowing PreferenceLDR201: Gender and Leadership (Wednesday)PH101: Introduction to Public Health (Thursday)PH241: Health, Illness & Society (Tuesday)SW101: Introduction to Social Work and Social Welfare (Tuesday)Please list any classes you'd be interested in shadowing that are not on the list.Please select your top two dates that you would be available to virtually join a class between 6pm - 9:20pm EST at least 5 business days after the day you submit the form. The last available day to request for the Spring semester is Friday, April 17th."1st Choice Date (Monday-Friday)2nd Choice Date (Monday-Friday)Other InformationDo you require any accommodations (physical or otherwise specified)Submit