Group Visit Request for the Physician Assistant Program

Thank you for your interest in the Physician Assistant Program at Ursuline College! Use the form below to request an in-person or virtual group visit, and a Graduate Admission staff member will follow up with you shortly. Please note, we prefer at least 10 business days' notice so that we can prepare for your group.

Group Information

Group Name

College or University Name

Primary Contact's First Name

Primary Contact's Last Name

Primary Contact's Email Address

Primary Contact's Mobile Phone Number

What is the purpose of your visit?

What specific topics would you like to have addressed?

Do you have any special requests or accommodations?

Visit Details

Please provide two to three dates and times for your visit.

Preferred Date #1

Preferred Start Time

Preferred End Time

Preferred Date #2

Preferred Start Time

Preferred End Time

Preferred Date #3

Preferred Start Time

Preferred End Time

Type of visit

Virtual (Zoom)

In-person

How many students do you expect to attend?