| Summer Noah's Ark School Programs for Pre-K through 2nd-grade students can be booked on selected Tuesdays and Fridays in June, July and August. |
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| SCHOOL INFORMATION (required)
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| School Name |
Input Required |
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| Address |
Input Required |
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| City |
Input Required |
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| State |
Input Required |
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| ZIP |
Input Required |
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| Current Principal |
Input Required |
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| Phone |
Input Required |
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| Fax |
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| Check one |
Input Required |
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| School District |
Input Required |
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| Local district # (LAUSD only) |
If not applicable, type "none" |
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| Are you a Title 1 school? |
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| TEACHER CONTACT INFORMATION (required) |
| Teacher Name |
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| Position |
Input Required |
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| Contact Phone |
Input Required |
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| Alternate Phone - Please provide phone number to be used on the day of the visit. |
Input Required |
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| Email Addresses of ALL teachers attending the tour. |
Input Required |
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| Names of all teachers attending the trip. |
Input Required |
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Is this the first time you are bringing students to the Skirball on a field trip?
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Input Required |
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If NO, how many years have you been bringing your classes on field trips?
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Input Required |
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If YES, who referred you to the Skirball?
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| CLASS INFORMATION |
| Grade Level |
Input Required |
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Student Age Range
(minimum 4 years old) |
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| Estimated # of students (15-50) |
Input Required |
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Estimate number of adults
(teachers and parents, max. 10) |
Input Required |
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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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Input Required |
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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.
Gallery programs are available on selected Tuesdays and Fridays, in June, July and August 2013. |
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Noah's Ark gallery program begin at 10:00 a.m., except where noted and last 1.5 hours. Select only one.
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| First Choice |
Input Required |
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| Second Choice |
Input Required |
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| Third Choice |
Input Required |
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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) |
| Bus Scholarship Terms |
Input Required |
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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 and ask to speak with Ruth Ann.
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| Admission Scholarship |
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In order to be considered for an admission scholarship, please answer the following questions:
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1. What financial restraints prevent you from paying the admission fee? (limited to 150 words)
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Input Required |
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2. How will a visit to the Skirball supplement your classroom curriculum? (limited to 150 words)
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Input Required |
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3. How does the Skirball's mission dovetail with your teaching practices? (limited to 150 words)
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Input Required |
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If your form has been submitted successfully, you will receive an automated email immediately. If not, email education@skirball.org.
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