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: State: Zip code:

Number of Students: (max of 35 per program)   Grade Level(s):    Number of Adults:

Programs are available Tuesday - Friday, 9:00 a.m. - 5:00 p.m.

Programs are 60 to 90 minutes.

1st Choice Date:  
2nd Choice Date:
3rd Choice Date:
Time:  

 


Time: 

Time: 

 

 



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

Requesting a SCHOLARSHIP?             NO YES* (Complete 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 - 2
Fun with Fossils
Camas Oven
Animal Tracks
Grades 3 - 5
 Oregon Archaeology Detective
 Famous Fossil Find
 Adapt, Move, or Go Extinct
 Ride the Rock Cycle
 Designing for Disasters (available starting Jan. 2019)
 What Do You Know About H2O? (available through Nov. 21, 2018)

 

 

 

 

Grades 6 - 8
 Cultural Scene Investigation
 Adapt, Move, or Go Extinct
 Ride the Rock Cycle
 Designing for Disasters (available starting Jan. 2019)
 What Do You Know About H2O? (available through Nov. 21, 2018)

 

 

Grades 9 - 12
Cultural Scene Investigation
 Exhibit Hall Tour
 Designing for Disasters (available starting Jan. 2019)

 

 

How did you hear about the programs?


 
 K-12 Education Program Scholarship Application 
 2018-19 School Year                                               

 

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 2018-19 academic year. 

Guidelines and Eligibility:

  • Funds awarded to K-12 classes visiting the museum during the 2018-19 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, 2018.
  • Scholarship funds pay for the educaiton program which includes admission to the museum.
  • Applicants will be notified by email or phone within one week of submitting the application.

 

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

 

Name of School:

District:

City:  Zip:  County:

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