Rice360 Tour Form

Thank you for your interest in visiting the Rice360 Institute for Global Health Technologies.

Please fill out the following questionnaire to assist us in providing you with the best visit possible. We will get back to you soon with a confirmed date and time for your requested tour.

Requester's Full Name

Department, Organization, Company, or Other Affiliation

Job Title (EX: Professor, Engineer, etc.)

Email

Phone Number

For the best experience, we require a representative from your organization to remain with the group throughout their visit to Rice360.

Is the person filling out this form also acting as the day of tour group leader?

Yes
No

Chaperone Full Name

Chaperone Email

Chaperone Phone Number

Group Name

Purpose of Visit

Audience, check all that apply

University Faculty / Administration

News Media

Rice Students

Government Agency Guests

Alumni

Middle and High School Students and Teachers

Prospective Donors / Donors

Other

International Visitors

Number of Guests

In the next section please list your availability in MM/DD/YYYY format. Two dates are required, and the third is optional. This helps us match our schedules with yours to find a date that works perfectly for you!

First Potential Date:

Available Times for First Potential Date:

Second Potential Date:

Available Times for Second Potential Date:

Third Potential Date (Optional):

Available Times for Third Potential Date: