K-12 Education Program Request Form

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

School or group name

Teacher or group leader

Phone

Address

City/Town

State/Province

ZIP/Postal Code

Number of students

(max of 35 per program)

Grade level(s)

Number of Adults

We ask that groups have a 1:8 ratio of adult chaperones to youths.

List any educational goals or subjects of interest.

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

The admission cost per student for your program is determined on a sliding scale based on the percent of your school’s population that qualify for the National School Lunch Program. Our source for this information can be found here.

(This percentage is based on the federal program and is different from the school-wide free lunch available under the Oregon’s Student Success Act.)

The price for your class, per student, will be listed in your confirmation email. Please read through it carefully, and bring cash, card, or check with you for payment on the day of your visit.

If you have any questions, please email mncheducation@uoregon.edu or call 541-346-0877.

K-12 Education Program Request Form

Scheduling

Program selections