Pacific Historic Parks Living the Legacy Virtual Field Trip Request Form: Pearl Harbor National Memorial
“Living the Legacy of Pearl Harbor” curriculum provides the opportunity for local, mainland, and international students in Pre-K to 12 grade, educators of any discipline, individuals and organizations, to visit Pearl Harbor National Memorial and interact with a Pacific Historic Parks Education Coordinator through worldwide long-distance learning and video teleconferencing via a remote conferencing service provider, Zoom.

This program allows students and educators to virtually visit the USS Arizona Memorial and the Pearl Harbor Visitor Center. This program will involve live-time interaction with students, educators, volunteer and/or civilian eyewitness of the Pearl Harbor attack. The presentation tour will conclude with a question and answer discussion among all participants.

This live-time interactive virtual tour requires a Zoom account for participation.
I understand that this request is not final until it has been confirmed by the Pacific Historic Parks Education Department. *
Required
By submitting this form, I commit to connecting with a Pacific Historic Parks representative to give a 45-60 minute virtual Field Trip Tour of Pearl Harbor National Memorial through Zoom, a remote conferencing service provider. *
Required
Name of School / Educational Institute / Community Site *
Provide the name of your School, Educational Institute, or Community Site
Your answer
Teacher / Community Leader's Name (Point of Contact) *
Provide the name of who will be coordinating the virtual Field Trip from your location
Your answer
Point of Contact Teacher / Community Leader Email Address *
State your email address
Your answer
Point of Contact Teacher / Community Leader Phone Number *
Provide a phone number to contact you
Your answer
Physical Location and/or Address of School / Educational Institute / Community Site *
Your answer
Type of School / Educational Institute / Community Site *
Grade Level of Participants *
Select all participating grade levels
Required
Content Aligned to Virtual Field Trip *
State the subject or topic you are teaching or the title of your class
Your answer
Standards or Learning Goals Aligned to Virtual Field Trip *
State the Standard(s) or Learning Goal(s) / Content and Performance Standard, Common Core State Standard, and/or C3 Framework Standard of this Presentation
Your answer
Eyewitness Civilian *
Please indicate if you would like to have an eyewitness civilian to be part of the virtual Field Trip, if one is available.
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