MEarth Field Trip Request Form
Educators, please fill out this form to the best of your knowledge and someone from MEarth staff will get back to you shortly. Keep in mind the duration of our field trips is 2-3 hours.Thank you!
Teacher Name *
Your answer
Email address + Telephone number *
Your answer
Grade Level *
Your answer
School Name *
Your answer
School District *
Your answer
Is your school classified as Title-1? *
How many students are in your class? *
Your answer
Which program are you interested in for your field trip? (See more detailed descriptions here: http://mearthcarmel.org/programs/) *
Required
Preferred Date - CHOICE 1 *
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Preferred Time - CHOICE 1 *
Time
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Preferred Date - CHOICE 2 *
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YYYY
Preferred Time - CHOICE 2 *
Time
:
Preferred Date - CHOICE 3 *
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Preferred Time - CHOICE 3 *
Time
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Are you able to provide transportation cost? *
Any considerations we should know?
Your answer
Submit
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