Tour Request Form

Name of college, school or organization:
Grade level or average age of tour participants:
Number of persons in the tour group:
For tours of high school and college students, it is sometimes possible to arrange for short presentations on topics of special interest. If you would like to have such a presentation, check one of the boxes below to indicate the topic of your interest.
	Primate behavior
	Diabetes
	Contraception
	Stem cell therapy
	Aging
	Depression
	Obesity
	Sleep
	Puberty
	Premature Delivery
	Multiple sclerosis
	Protein folding
	Viruses and vaccines
	Research
	Veterinary
Possible dates for the tour:
(Suggest at least two dates, avoiding Saturdays, Sundays, Mondays and holidays.)
Date1:	mm/dd/yy
Date 2:	mm/dd/yy
Time of day:
(Allow 1 1/2 to 2 hours. The earliest start time is 9 a.m. and the latest start time is 3 p.m.)
Enter Time:
Your name (or the name of the contact person):
Your e-mail address:
Your telephone number:
We will confirm your tour date and time and send you travel and parking directions within three working days. In our confirmation notice, we will also respond to any request for a presentation.

OHSU — Oregon Health & Science University