Counselor Form

High School Visit Request

What part of South Dakota do you live?

East River-Meet with Ashli

Black Hills Region-Meet with Brittani

What type of visit would you like?

A visit with Ashli to catch up on current events at South Dakota Mines

One or more students want to meet with Ashli to learn more about South Dakota Mines

What type of visit would you like?

A visit with Brittani to catch up on current events at South Dakota Mines

One or more students want to meet with Brittani to learn more about South Dakota Mines

Who is the point of contact at your high school?

High School

Title

First Name

Last Name

Email Address

Phone

What are some dates and times that work for you? Pick your top three visit dates.

Visit Date 1

Visit Date 2

Visit Date 3

Thank you! We'll be in touch soon!