Virtual K-12 Programs request form

If you are requesting programs for more than one class, please fill out a separate request for each class.

School or organization

Teacher or group leader

Phone

City or Town

County

State

ZIP Code

Number of students

(max of 35 per program)

Grade level(s)

List any educational goals or subjects of interest.

Programs are 45 minutes long and are available Wednesdays through Fridays between 8:30 a.m. and 4:00 p.m.

1st Choice Date

1st Choice Time

2nd Choice Date

2nd Choice Time

3rd Choice Date

3rd Choice Time

Program Options: Please select one. You can find program details on our Virtual Programs page.

Cultural History

Artifact Investigation (Grades 3-6)

The museum educator will join your class via the video conferencing platform you already use with your students. Which platform will you be using for the program?

Zoom

Microsoft Teams

Skype

Google Hangouts Meet

Other

If you checked "other," please specify which platform you use:

Please tell us about your video conferencing norms. For example, do your students use chat functions? Do they typically join with their cameras turned on or off? How many students will be logging in from remote sites (like home)? How many will join the program from your classroom? You can share any details here that will help our educators facilitate your live session.

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

Will your students be visiting the museum prior to or after the virtual program?

Yes

Not sure

The museum offers a 50 percent discount on program fees for any school with 50 percent or more of its students eligible for free or reduced lunch. Does your school qualify for this discount?

Yes

Have you participated in our museum programs in the past?

Yes, I have participated in virtual programs.

Yes, I have done in-person field trips.

No, this is my first program with the museum.

How did you hear about this program?

If you have any questions, please email mncheducation@uoregon.edu or call 541-346-1694.

Virtual K-12 Programs request form

Scheduling

Program selections