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Plattsburgh State University of New York
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I've Been Admitted to College (IBAC): Request Form
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For School Representative:
Please complete the following information to request a visit. This form is intended for school representatives only.
Requestor Information
First Name of Individual Requesting Visit
Last Name of Individual Requesting Visit
What is the best phone number to reach you at?
Email Address
What school are you associated with?
What is your title?
Agency Contact
Assistant Principal
Assistant Superintendent
CBO Contact
College Representative
Contract Administrator
Counselor
Counselor for USA Region
Director
EducationUSA Advisor
Independent Counselor
P-12 Contact
Personnel Administrator
Principal
Scheduling Contact
Sole Agency Contact
Sponsoring Agent
Staff
Superintendent
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Student's Expected Graduation Year
What are your top 3 preferred visit dates, in order of preference?
Preference 1
Wednesday, October 7, 2026
Friday, October 9, 2026
Thursday, October 15, 2026
Tuesday, October 20, 2026
Preference 2
Wednesday, October 7, 2026
Friday, October 9, 2026
Thursday, October 15, 2026
Tuesday, October 20, 2026
Preference 3
Wednesday, October 7, 2026
Friday, October 9, 2026
Thursday, October 15, 2026
Tuesday, October 20, 2026
This event will take place from 10:00 a.m. to 1:00 p.m., and participating schools are required to remain for the full duration of the event.
Day-of-Event Main Contact Information
Will you be the contact on the day of the event?
Yes
No
Designated main contact responsible for accompanying students and receiving event-related communications
Contact First Name
Contact Last Name
Contact Email
Contact Phone Number
Group Information
Estimated Number of Students
Estimated Number of Chaperones
Do you, or anyone in your party, have any accessibility needs?
Yes
No
Please describe what needs or accommodations you require (eg. Use of elevator, interpreter)
We want to provide students with many opportunities to start seeing college in their futures. The college requires that chaperones:
At least one chaperone from each school should remain with their student group at all times.
We ask all guests to follow campus expectations and represent their school in a positive way throughout the day.
Please be attentive and respectful to all speakers, presenters, and fellow participants during the event.
Chaperones are expected to actively monitor student behavior and address any concerns promptly. Your support helps ensure a safe, respectful, and productive experience for everyone.
Chaperones should help monitor phone usage and assist with restroom breaks. Our staff and student volunteers will not be escorting students to and from restrooms.
We ask chaperones to help enforce campus expectations and rules. Please remember that campus staff are accustomed to working with college students and may not be as familiar with the needs and supervision expectations of younger students.
If you feel students are not fully understanding the information being shared, please feel free to ask appropriate questions of tour guides, presenters, or speakers to help clarify key points and encourage engagement.
We also appreciate your help with transitions between activities so we can stay on schedule and make the most of our time together.
All groups are expected to adhere to the event schedule. To keep the program running smoothly and on time, groups must attend their assigned dining location and activities; stops at alternative dining halls or other unscheduled locations will not be permitted.
All groups are expected to remain for the full duration of the event.
Acknowledgement
I acknowledge that the school with which I am affiliated is responsible for ensuring that designated chaperones remain with students throughout the field trip at SUNY Plattsburgh. The school understands that it is responsible for the custody, control, and supervision of its students for the full duration of the event.
Signature
I confirm that the information above is accurate the best of my knowledge and that I have read, understand, and agree to follow the chaperone expectations listed above.
Form Filler's Signature
E
ntering your name below denotes a required signature
Click to Sign...
For more information please contact:
Kayla Boise
Admissions Advisor / Special Events Coordinator
P: 518-564-2040
E: kbois001@plattsburgh.edu
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