skip to nav skip to content

Skirball Cultural Center

2701 N. Sepulveda Blvd, Los Angeles, CA 90049 - (310) 440-4500
Search

School Tour Summer Request Form Pre-K-2

Summer Noah's Ark Program Request Form - Pre-K--2 Grade

Summer Noah’s Ark School Programs are open to year-round schools, pre-schools, and summer programs serving Pre-K through 2nd-grade students. Tours are available on selected Tuesdays and Fridays in July and August. Complete and submit the form below to request your program.
SCHOOL INFORMATION (required)
School Name
Input Required
Address
Input Required
City
Input Required
State
Input Required
ZIP
Input Required
Current Principal
Input Required
Phone
Input Required
Fax
Check one
Input Required
School District
Input Required
Local district # (LAUSD only)
If not applicable, type "none"
Are you a Title 1 school?
Invalid Input
TEACHER CONTACT INFORMATION (required)
Contact Name
Invalid Input
Position
Input Required
Contact Phone
Input Required
Alternate Phone - Please provide phone number to be used on the day of the visit.
Input Required
Email Addresses of ALL teachers attending the tour.
Input Required
Names of all teachers attending the trip.
Input Required
Is this the first time you are bringing students to the Skirball on a field trip?

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

Input Required
If YES, who referred you to the Skirball?

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

Invalid Input
Estimated # of students (15-50)
Input Required
Estimated number of adults
(teachers and parents, max. 10)

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

Input Required
Additional Comments

Invalid Input
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.
  • Gallery programs are available on selected Tuesdays and Fridays in July and August 2014.
  • Noah's Ark gallery program begin at 10:00 a.m., except where noted and last 1.5 hours. Select only one.

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








    Input Required
    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 and ask to speak with Ruth Ann.
    Admission Scholarship


    Invalid Input
    In order to be considered for an admission and/or bus scholarship, please answer the following questions:
    1. What financial restraints prevent you from paying the admission fee? (limited to 150 words)

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

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

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

    ©2014 Skirball Cultural Center | Contact Us | Privacy Policy and Terms & Conditions

    Top of Page