Moton Museum Field Trip information
All schools visiting the Moton Museum for a field trip are required to fill out this questionnaire to provide us with basic information. For more information contact education@motonmuseum.org or call at 434-315-8775 ext 3
The Moton Staff will contact you to confirm details.
Email address *
Your name and contact information(name, phone number) *
Your answer
Names of other teachers participating in the field trip.(for survey purposes) *
Your answer
School Division (i.e. Prince Edward County Public Schools, Richmond City Schools, etc.) *
Your answer
Preferred Date(s) for visit?(mm/dd/yy)(please include some alternate dates in case your date is unavailable) *
Your answer
Preferred Start Time and Duration for visit? *
Your answer
Does your visit include breakfast or lunch?(food can be eaten on site at the museum) *
Student Grade Level(s) *
Your answer
What courses are students enrolled in that is relevant to the Moton Museum? (Government, US History, Other, etc.) *
Your answer
Is there any way you would like us to specialize your visit? (specific historic content to focus on, speak on diversity issues, discuss civic engagement, etc.) *
Your answer
How many students and chaperones total will participate in the visit? *
Your answer
Are you interested in splitting your group into smaller groups? *
Your answer
Please check all that your group would be interested in for your visit *
Required
If you wish to stay two hours or longer we would encourage you to visit another local site to supplement your visit. We have a local fully accredited art museum, three state parks, two colleges available for visit. If interested let us know!
A copy of your responses will be emailed to the address you provided.
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