Distance Learning Program Request Form

Please complete this form at least 6 weeks in advance of your program. You will receive an immediate confirmation via e-mail that your request was received, and we will contact you to confirm your program within 7–10 business days.

Programs may be scheduled Monday through Friday between the hours of 7 am and 7 pm.

Please submit a separate form for each day you would like to schedule a visit.

Contact Information
If your first choice is not available, we will provide alternate date/time recommendations based on what days you are able to host this program.
Start times between 7 am and 7 pm, every 15 minutes.
Additional Information