Educational Institution (required)

Full Name Name (required)

Telephone (required)

Email Address (required)

Contact Person (Alternate)

Telephone

Email Address

Presentation

 Yes No

Date of Presentation

Time

Date of Presentation (Second Choice)

Time

What would you like as the focus of this presentation?

Tabling
 Yes No

Date of Tabling

Time

Date of Tabling (Second Choice)

Time

Computer Resources Available

 Yes No

Estimated number of students attending

Peralta College TOURS

Please indicate your preferred College(required)
 Laney College Merritt College College of Alameda Berkeley City College

Please indicate your preferred tour date (Thursday or Friday ONLY):

Please rank your preferred tour time (1st, 2nd, and 3rd choice):

9-10AM

11AM-12PM

2-3PM

Please specify any special accommodations:

Please specify any specific program interests:

Note:

All tours will be held on most Thursdays and Fridays from either 9-10am, 11-12pm, or 2-3pm. Please request your tour date/time no later than 2 weeks prior to your preferred date. Additional days may be available upon request.