LeadSource	LeadSource Found
Campus	Campus Found
Level	Program Level/Program Degree
Plan ID	Plan Code
Plan Found	Plan Program Level
Honors	Advertising Type
Advertising Type Found	Admit Type
Admit Type (Text)	Student Type
Student Type (Text)	Contact Found
Contact ID	Contact Type
I am interested in: Will store any value from form 400's "I am interested in:" fields. Currently there are 2 fields on form 400. These values and the value from either the Advertising Type field or Program Level field will conditionally populate this form.	COUNSELOR ID
COUNSELOR FOUND	Counselor RFI Account Record Type Name
CAMPAIGN ID	CAMPAIGN FOUND
Direct Link	Event Term and Plan Set
Campaign Short Name	Campaign Short Name Description
Campaign Location	Campaign College ID
Capacity Reached	Q: Guest Count - Required
Q: Guest Count - Optional	Q: HS Excuse Letter
Q: Dietary Restrictions	Q: Questions
Q: Mobile Phone Required	Campaign Start Date
Campaign Start Time Text	Campaign Owner ID
Campaign Owner Alias	Campaign Owner Department
Campaign Member Status	Show Housing Tour
Housing Campaign Calculate Campus Tour Time	Housing Campaign Short Name
Housing Campaign Short Name Description	Housing Campaign Location
Housing Campaign ID	Parent Campaign ID
Counselor/Other Account Record Type	Counselor/Other Account Type

UT San Antonio

Thank you for your interest in The University of Texas at San Antonio (UT San Antonio). Visit our website to view our privacy policy or if you need support regarding this form.

The event you are attempting to Register for is either at capacity or no longer accepting registration.

STUDENT INFORMATION

First Name

Last Name

Staff Email

Mobile Phone

Numbers only (ex: 2104588000) U.S. carriers only

Mobile Phone

Numbers only (ex: 2104588000) U.S. Carriers only

MyUTSA ID (If Applicable)

Ex: abc123

Calc_Mobile

By submitting this form, I agree to UT San Antonio contacting me about educational services using email, phone calls, automated dialers, prerecorded voice messages, or sms messages at the information provided above. Message and data rated may apply. I also agree to the university's SMS Terms and Conditions and Privacy Statement and understand that I may opt out of these communications at any time through each communication channel.

Mailing Street

Mailing City

Mailing State

Mailing Zip/Postal Code

Ex: 78250

Mailing Postal Code

Mailing State/Province

Mailing Country

My Address is Outside the U.S.

Function/Position:

School District

School District Name

School District is not listed

School/Organization City

School/Organization State

School/Organization Name

School/Organization Name:

School/Organization is not listed

Would you like us to visit or present at your school?

YesNo

Request Type

Event/Presentation Duration

Student Population for Request

Request Topic

Request Date

Request Time

More Information

Start Term

High School City

High School Name

High School State

High School Name

My high school is not listed

College City

College Name

College State

College Name

My college is not listed

Are you interested in the The Honors College?

YesNo

I do not want to provide parent info

PARENT/FAMILY INFORMATION

Parent/Family First Name

Parent/Family Last Name

Parent/Family Email

Parent/Family Mobile Phone

Relationship to Student:

Emails Match Message

Number of Students

No more than 60 students.

Number of Chaperones

Students per Chaperone

There must be no more than 10 students per 1 chaperone.

Audience

3rd-5th Grade6th-8th GradeOther

Please Specify

Day-Of Contact Name

Day-Of Contact Mobile Number

Are there any special considerations you would like us to be aware of?

Company

What is the highest level of calculus you have taken?

How many guests will be with you?

limit 0 - 9 guests

How many guests will be with you?

limit 0 - 9 guests

Will you need an excuse letter?

YesNo

Please list any dietary restrictions.

To help us prepare, please let us know what questions or what you'd like to learn at this event.

Housing Tour

Would you like to attend a Housing Tour after the Campus Tour?

RR4D Acknowledgement

Schedules and room reservations are made in advance with your tour in mind to provide a unique and memorable experience for your group visit. Cancellations within 72 hours of the tour, apart from inclement weather situations, or failure to arrive for a tour may result in your group's inability to reschedule within the same semester. Please keep us updated as plans change prior to your scheduled tour date.
Prior to your scheduled visit, you will receive an email tour confirmation with important day-of information to ensure a positive and smooth campus visit experience. Please respond to this campus tour confirmation within three days of receiving the email and provide a final headcount of your students in order to keep your guided tour on our schedule.
Each school should follow their own permission slip or field trip procedures. UT San Antonio Community Outreach does not require nor will provide waivers or permission slips for participation in the Roadrunner for a Day program.
The guides for the Roadrunner for a Day program are UT San Antonio college students. also known as G-force Student Mentors. While G-Force Student Mentors are informational tour guides trained to enhance your visit to the university, we rely on your chaperones to ensure student behavior is conducive to an excellent and safe field trip. For this reason, we require one (1) adult chaperone per ten (10) students.
UT San Antonio is a public university, and therefore Peaceful Public Assembly is allowed on campus. Expressive Activities may be taking place in “Free Speech” areas on our tour route. The content of these college demonstrations or free speech activities are designed for college students and vetted by campus administrators. For more information, visit our website.

I have read and understand the above information.

UT San Antonio Elementary/Middle School Group Tour Guidelines:

We’re excited to host your elementary or middle school group and aim to provide a fun, safe, and memorable campus experience for all visitors. To help us do that, we kindly ask that you review the following guidelines before your visit.

The ratio for a student-to-chaperone is 10:1.
We recommend that you arrive at least 15 minutes before your scheduled tour time and call the Community Outreach office to let us know you have arrived. A late arrival may result in a condensed tour or a cancellation of the tour.
All members of the group, including chaperones, need to stay together at all times during the campus tour.
Your group will have a tour guide for your campus tour, but all other activities, such as housing, dining/Roadrunner Cafe and/or other activities, will need to be traveled on your own.
Group members need to keep their voices down inside academic buildings and remain respectful of the learning environment.
Group members must stay respectful at all times toward each other, tour guide(s), university staff, students, other visitors and families. Disrespectful comments and/or actions are not permitted and may result in termination of your tour and we will not be able to host your group(s) again in the future.
A minimum of 2 weeks' advance notice is required for ADA accommodation and/or any special request.

We appreciate your time and effort in coordinating the visit, and we look forward to welcoming you to UT San Antonio soon.

I acknowledge I have read and understand the contents in the guidelines attached to this form.

UT San Antonio Welcome Center Group Tour Guidelines:

Our mission at the Welcome Center & Events office is to make your group visit a good memorable experience. To accomplish this, we kindly ask that you please read the following information carefully in order to help us achieve this goal.

The ratio for a student-to-chaperone is 20:1.
We recommend that you arrive at least 20 minutes before your scheduled tour time and call the Welcome Center & Events office to let us know you have arrived. A late arrival may result in a condensed tour or a cancellation of the tour.
All members of the group, including chaperones, need to stay together at all times during the campus tour.
Your group will have a tour guide for your campus tour, but all other activities, such as housing, dining/Roadrunner Cafe and/or other activities, will need to be traveled on your own.
Group members need to keep their voices down inside academic buildings and remain respectful of the learning environment.
Group members must stay respectful at all times toward each other, tour guide(s), university staff, students, other visitors and families. Disrespectful comments and/or actions are not permitted and may result in termination of your tour and we will not be able to host your group(s) again in the future.
A minimum of 2 weeks’ advance notice is required for ADA accommodation and/or any special request.

We appreciate your time and effort in coordinating the visit, and we look forward to welcoming you to UT San Antonio soon.

I acknowledge I have read and understand the contents in the guidelines attached to this form.

Do you meet UT San Antonio's English proficiency requirement for admissions?

YesNo

Country

Do you have any questions?

If you have any additional questions, please list them below.

Your Question

Phone Number

Call Time Preference

What would you like to talk about?

Plan Marketing Plan Name	Admit Type
Check Deadline	Check International Deadline
FormAssembly Domestic	FormAssembly International
FormAssembly ONL Checker	Program Code
TERM ID	HCID
College ID	High School ID
utm_source	utm_medium
utm_campaign	utm_content
utm_placement	utm_term
utm_network	utm_targetid
utm_cl0	utm_cl1
utm_cl2	utm_cl3
utm_cl4	utm_cl5
client_id	session_id
referrer_url	utm_id
gclid	fbclid
msclkid	hostURL
School Account ID	School District Account ID
AFFILIATED ACCOUNT ID	Country API
Opportunity Stage	Opportunity ID
Opportunity Admit Type