Request an Instant Viking at Your School

School Information

High School Name
Start typing, then select your school from the options that appear below the text box.

Organization/School Mailing Address
Enter the mailing address for the organization or school submitting this form. Please do not enter any personal information.

Country

Street

City

Region

Postal Code

About You

First Name

Last Name

Job Title

Phone Number

Email Address

Will you be the point of contact for PSU on the day of the Instant Viking?

Yes

No

Day-Of Phone Number

Enter the Contact Information for the Day-Of Coordinator

First Name

Last Name

Email Address

Day-of Phone Number

Date & Time Preference

When would you like to host your Instant Viking?

I have a specific date in mind.

I have some flexibility within a specific week.

I have some flexibility within a specific month.

Please select a day during the week you'd like to host your Instant Viking.

Please select a day during the month you'd like to host your Instant Viking.

We would like to host an Instant Viking on:

The date I am looking for is unavailable.

Special requests may not be able to be accommodated, but information for coming to campus for a group visit will be provided.

I am making a special request for:

What time would you prefer to host the Instant Viking?

If your preferred date is unavailable, are your plans flexible?

Our date and time preferences are flexible

Only our date preference is flexible

Only our time preference is flexible

Our plans are not flexible

Please list any additional dates and/or times that would work to host a PSU Instant Viking.