Concordia University Wisconsin School of Pharmacy Individual Visit

First Name

Middle Name

Last Name

Email Address

Phone Number

Classification

When would you like to start college?

Current or Last School Attended (Please write out the full name)

Please request visits at least 48 hours out in advance from the day submitted
Available on Mondays, Wednesdays, and Thursdays

What time block would you like to visit?

In-person or virtual visit?

Please share any additional requests or information we should know in scheduling your visit such as pharmacy interests or desires out of the visit: