Request Form: Virtual Field Trip

"*" indicates required fields

Contact information

Name of teacher contact*

Live Online Learning Program Topic Selection

Please note that there is a minimum of ten students for virtual field trips.

Program date/time preferences

All online programs must be scheduled at least four weeks in advance from today's date. List your first and second choice for a program day and time below. Free live online learning programs are available for student groups every day except Wednesdays and federal holidays.
Programs are one hour long. If you would like to schedule a different length, please indicate how long you would like the program to last.
MM slash DD slash YYYY
Please indicate your time zone with the start time.
MM slash DD slash YYYY
Please indicate your time zone with the start time.
MM slash DD slash YYYY
Please indicate your time zone with the start time.

Additional information

(Suggestions: In 1–2 sentences, introduce your group to us, including any special needs, abilities, or interests, what makes your school or class unique.)
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