History Colorado Virtual Field Trip Request Form
For schools looking to book a Virtual Field Trip with History Colorado

Cost: $2 per student; teaching staff free. Title I schools: $1 per student. Tuition assistance is available.

Duration: 45-50 minutes

Please register ASAP -- at least two weeks prior to your first session. Space is limited.
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School Information
School Name *
School District *
Billing Address *
City *
Zip Code *
School Phone Number *
Does the school qualify for Title I status? *
Planning Your Virtual Field Trip
Your virtual field trip will consist of a 45-50-minute session. You and your students will "tune in" via Zoom for a live and interactive presentation at one of our sites by one our educators.

Below, choose the site(s) and the program(s) you would like. You will then be able to request your preferred date range and time.

For descriptions of the different experiences, please see our website https://www.historycolorado.org/virtual-field-trips.
Ute Indian Museum
Wednesdays at 10:00 and 1:00
El Pueblo History Museum
Tuesdays at 10:00 and 1:00
Center for Colorado Women's History
TBD
History Colorado Center
Thursday at 1:00; other days available by request
Date: First Choice
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Date: Second Choice
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Date: Third Choice
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Time: First Choice
*Please note: The History Colorado Center Programs are offered only at 1:00 pm.
Clear selection
Time: Second Choice
*Please note: The History Colorado Center Programs are offered only at 1:00 pm.
Clear selection
Teacher Information
Please provide the organizing teacher's information below, as well as the emails of other teachers/staff members attending.
Lead Teacher's First and Last Name *
Lead Teacher's Cell Phone Number
Lead Teacher's Email Address *
Emails for Other Participating Teachers
This is to ensure information is received by all teachers involved.
Participating Teachers' Names and Usernames
Please provide the names and usernames of all teachers attending. We will make you "co-hosts" on the Zoom call to allow you to control your mic and help us manage the chat function.
Student Information
Grade Level *
Total Number of Students *
Number of Classes *
Are there any students with special needs/ESL? *
Comments:
Please list specific needs for your students with disabilities and/or ESL students, and we'll do our best to accommodate your group.
Does your district allow you to use Zoom? *
Do you have established rules for using Zoom/another video conferencing platform that you would like to share with us? You can add a link in the form, email us (rebecca.chickadel@state.co.us), or add a short note here.
How do you plan to present the program to your students? *
Payment Information
Cost: $2 per student; teaching staff free. Title I schools: $1 per student. Tuition assistance is available.

Please provide the name and contact information for the person responsible for paying for this field trip, and our reservation coordinator will contact them. Schools in need may apply for tuition assistance here: https://forms.gle/oUQVXMBH2mxqNDrWA
Name *
Person responsible for payment. If you are a SOLE school, you can enter SOLE for each answer below.
Phone number *
Person responsible for payment
Email *
Person responsible for payment
Additional Notes/Comments:
Would you like to do different programs throughout the year? (Specify which and a general when.) Are there dates you definitely cannot do? Need to mix and match your live program times? Something else? Let us know!
Questions?
List the question(s) you have, and an Educator will get in touch with you.
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