Dr. Sam and Jacque Collection Study Center

Request Form

To schedule a class visit to the Dr. Sam and Jacque Kouri Collection Study Center to view works of art from the Ulrich permanent collection please complete and submit the electronic form below and the Education Department will follow up on your request. For additional information, contact the Education Department at 316.978.7116, or email ulrich.education@wichita.edu.

Contact Person Name(Required)

First Last

Name of School or Organization(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Mobile Phone(Required)

Confirm Email

Please share any course topics/concepts/assignments you would like to include in your Collection Study Program session

Please list any specific artists or artworks that you would like to include in your session