DRBA Environmental Education Interest Application 2019-2020
The Dan River Basin Association provides hands-on environmental education programs to thousands of students throughout Virginia and North Carolina. By completing this application, you are agreeing to remain in contact with Krista Hodges, Education Manager, throughout the school year with updates and requested information. Also, completing this application does not guarantee your participation in the program. You will be contacted after your application is submitted. Thank you for your interest in DRBA's EE programs - we look forward to your participation!
I would like to participate in the following program(s): *
Required
I agree to provide any requested information and updates to Krista Hodges, Education Manager, throughout the school year, including trout tank or tree issues, field trip information, etc., through emails or direct phone calls. I understand that failure to do so may eliminate my opportunity to participate in the future. *
I will hand out the required NAP (Neighborhood Assistance Program) reporting form to my students to take home and return any completed forms to DRBA. Completing these forms helps DRBA acquire funding to support the programs and keep the price low for schools. *
Name *
Your answer
School *
Your answer
County *
Your answer
Grade level *
Your answer
Number of students participating *
Your answer
Number of classes involved *
Your answer
Number of students receiving free or reduced lunch. If you need to find out and let me know, please note this below. *
Your answer
Email address *
Your answer
Best number to reach you *
Your answer
What supplies, for the program you selected, will you need for the school year? (Ie. Everything!, filters, test kits, trees, jars, new hoses, tank, etc.) *
Your answer
If selecting TIC, what type of trout are you requesting? This does not guarantee you will get this type. *
How do you plan to incorporate the program into your school's curriculum? *
Your answer
There is a $2 per student investment for all field trips (trout release, planting day, etc.). This funding goes towards the sustainability of DRBA's education programs. Students and families are welcome to donate additional funds, if they choose to do so. You are free to contact a sponsor to cover this cost, however, please let DRBA know if you have a sponsor. *
My school has a budget to help support this program. This is not a must, but is helpful! *
For all programs, there is an investment associated, but varies based on length of time and number of students involved. We will contact you about your program and what the investment will be for your students. Please be on the lookout for a follow up email. *
Please email Krista Hodges directly if you have any questions about this - khodges@danriver.org
Do you have any questions or comments for DRBA? We look forward to seeing you in the new school year!
Your answer
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