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Skirball Cultural Center

2701 N. Sepulveda Blvd, Los Angeles, CA 90049 - (310) 440-4500
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Afterschool Noah’s Ark Program Request Form

Afterschool Noah’s Ark Program Request Form

Organizations with after-school programs are invited to register for facilitated, interactive visits to Noah’s Ark. Tours are available on selected Tuesday afternoons, during public museum hours, throughout the school year.
SCHOOL INFORMATION (required)
School or Organization Name
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Address
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City
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State
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ZIP
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Current Principal
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Phone
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Fax
Check one
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School District
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Local district # (LAUSD only)
If not applicable, type "none"
Are you a Title 1 school?
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TEACHER CONTACT INFORMATION (required)
Teacher/Contact Name
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Position
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Contact Phone
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Alternate Phone - Please provide phone number to be used on the day of the visit.
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Main Contact Email
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Email addresses fro all other teachers attending with you.
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Names of all teachers attending the field trip.
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Is this the first time you are bringing students to the Skirball on a field trip?

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If NO, how many years have you been bringing your classes on field trips?

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If YES, who referred you to the Skirball?

CLASS INFORMATION
Grade Level
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Student Age Range
(minimum 4 years old)

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Estimated # of students (min. 15, max. 40)
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Estimated number of adults
(teachers and parents, max. 10)

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SPECIAL NEEDS*
*Information on your students' special needs (learning disabilities, physical limitations, gifted, ELL, etc.) helps us customize and plan your visit.

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Additional Comments

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SCHEDULING INFORMATION
  • Please select three possible dates for your gallery program. We will make every effort to accommodate you.
  • All tour requests are processed on first-come, first-served basis.
  • After-school gallery programs are available on selected Tuesday afternoons, during public museum hours , throughout 2014-2015 school year.
  • After-school Noah's Ark gallery programs begin at 3:30 p.m., except where noted and last 1.5 hours.

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    First Choice
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    Second Choice
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    Third Choice
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    TRANSPORTATION AND ADMISSION SCHOLARSHIPS (Public schools only)
    Scholarship Applications (YOU MUST check each box to indicate your understanding of the terms of these agreements)
    Admission Scholarship


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    Bus Scholarship Terms








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    If you need assistance finding a bus company, the Skirball has an account with American Transportation Systems. For more information please visit its website at www.amtrans.us or call (562) 531-8000.
    In order to be considered for an admission and/or a bus scholarship, please answer the following questions:
    1. What financial restraints prevent you from paying the admission fee? (limited to 150 words)

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    2. How will a visit to the Skirball supplement your classroom curriculum? (limited to 150 words)

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    3. How does the Skirball's mission dovetail with your teaching practices? (limited to 150 words)

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    If your form has been submitted successfully, you will receive an automated email. If not, email education@skirball.org.

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