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Virtual Field Trip request form

Thank you for requesting a Virtual Field Trip! After you submit this form, an educator will be in touch with you to schedule your Virtual Field Trip and set up an invoice for payment.

If you have questions, please contact Josie Chang-Order at josie.chang-order@state.co.us (preferred) or 303-866-3345.

1. School Name *This question is required.

2. School's Street Address *This question is required.

3. City/State/Zip *This question is required.

4. School District *This question is required.

5. Name of Lead Teacher *This question is required.

6. Cell Phone Number for Lead Teacher *This question is required.

7. Email Address of Lead Teacher *This question is required. This question requires a valid email address.

8. Email Addresses of All Participating Teachers *This question is required.

9. Grade Level *This question is required.

10. Number of Students ($2 / Title I Schools $1) *This question is required.

11. Number of School Staff (free) *This question is required.

12. Number of Classes *This question is required. This question requires a valid number format.

13. Does your school qualify for Title I status? *This question is required.

14. Which Virtual Field Trip program(s) are you interested in?

1918
Written on the Land: Ute Science
Thriving and Striving: Mesa Verde
Homesteading
Japanese Internment in Colorado
Refuge from Racism: Lincoln Hills
Mining Industry: Silverton Mine
Fur Trade: Bent’s Fort
Jr. Archaeologist
Bison Box

15. Which virtual meeting platforms can you use?

Zoom
Google Meets

16. How do you plan to share the program with your students?

17. First preferred date This question requires a valid date format of MM/DD/YYYY.

calendar

18. Second preferred date This question requires a valid date format of MM/DD/YYYY.

calendar

19. Third preferred date This question requires a valid date format of MM/DD/YYYY.

calendar

20. What is the earliest time you could start a 45 minute - 1 hour long Virtual Field Trip? Note: History Colorado Center can only start Virtual Field Trips at 2:00.

21. What is the latest time you could start a 45 minute - 1 hour long Virtual Field Trip?

22. Additional details that could help us plan for your Virtual Field Trip? (e.g., specific learning objectives, students with disabilities that require accommodations, ESL students that need extra support, etc.)