Education Program Request Form

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  K-12 Education Program Request Form

 

School or group name:

Teacher or group leader:

Email: Phone:

Address:

City:  Zip:  County:

Number of Students: (max of 35 at a time)   Grade Level(s):    Number of Adults:

Programs are available Tuesday - Friday, 9:00 a.m. - 4:00 p.m. Programs are 60-90 minutes.

1st Choice Date:  
2nd Choice Date:
Time:  
Time: 

 

Self-guided exploration time AFTER the program?Yes No                      If yes, how much time is needed?:  

Have you visited the museum before? Yes No

Requesting a SCHOLARSHIP?             NO YES* (Separate form below) 

*50% of students must be eligible for free or reduced lunch

Do any students have any special needs of which the instructor should be aware?

List any educational goals or subjects of interest.

Program Options: (select one program)

Grades PreK - 2nd
Fun with Fossils
Camas Oven
Animal Tracks
Grades 3rd - 5th
 Oregon Archaeology Detective
 Famous Fossil Find
 Adapt, Move or Go Extinct
 Ride the Rock Cycle
 Wild About Wolves (through Feb. 9, 2018)
 What Do You Know About H2O? (starting Jan. 16, 2018)

 

Grades 6th - 8th
 Cultural Scene Investigation
 Adapt, Move or Go Extinct
 Ride the Rock Cycle
 Wild About Wolves (through Feb. 9, 2018)
 What Do You Know About H2O? (starting Jan. 16, 2018)

 

 

Grades 9th - 12th
Cultural Scene Investigation
DIGNITY (available Oct. 10 - Dec. 15, 2017)
 Exhibit Hall Tour Only

 

How did you hear about the programs?

 

 

 

 


 
  Scholarship Application                                                    

 

Thanks to a generous gift from Pacific Continental Bank, and support from the museum store, Past and Presents, the University of Oregon Museum of Natural and Cultural History is pleased to offer scholarships for school groups who wish to visit the museum during the 2017-18 academic year. 

Guidelines and Eligibility:

  • Funds awarded to K-12 classes visiting the museum during the 2017-18 school year.
  • Schools must have at least 50% of students eligible for free or reduced lunch.
  • Applications must accompany a program request and be submitted two weeks before the desired program date
  • Scholarships and program dates are awarded on a first-come, first-served basis starting on September 1, 2017.
  • Scholarship funds pay for roundtrip bus transportation (up to $100) and/or admission to the museum.
  • Schools arrange transportation and the museum pays the bus company directly.
  • Bus invoices must be received within 90 days of the visit date. If an invoice is not submitted within 90 days the funds may no longer be available.
  • Applicants will be notified by email or phone within one week of submitting the application.

UPDATE: All scholarship funds for the 2017-18 school year have been awarded. Any new requests will be added to the wait list and will be notified if more funds become available.

Name of School:

District:

City:  Zip:  County:

Applying for: Admission Funds
                     Estimated cost: $ 
                                            ($2/student)
Transportation Funds
  Estimated cost: $

 

 

 

Number of Students eligible for free or reduced lunch: 0-49% 50-74% 75-100%