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* 1. Name (First and Last Name)

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* 2. Title (ex. Careers Teacher, History Teacher, Counsellor, etc.)

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* 3. Email Address

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* 4. Phone number

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* 5. Secondary School

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* 6. What class is the group from? (i.e. English 12, CLC 11, etc.)

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* 7. Including supervisors, how many people will be on this visit?

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* 8. Please list 2-3 dates and times you would like to visit.

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* 9. Which campus would you like to visit?

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* 10. Which lecture(s) are you interested in attending? Please provide at least 2 and we will try our best to accommodate. For a list of lectures please see: https://www.sfu.ca/fass/community/high-school-visits/discover-fass/all.html

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* 11. Are you interested in a campus tour before or after the lecture?

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* 12. Are you interested in meeting a student mentor?

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