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* 1. School District or School Name:

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* 2. Has your school district scheduled field trips to the Peabody Museum in the recent past (2-3 years)?

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* 3. Would your district be interested in participating in virtual Peabody Museum programs taught remotely by museum educators and featuring Yale scientists and Peabody Museum specimens?

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* 4. If Yes to Question 2, which grade levels do you feel could most benefit from our programs? (click all that apply)

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* 5. Which of the following programs would be of most interest to you and your teachers?

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* 6. What percentage of your classrooms are outfitted with the appropriate technology to live stream a program presented through Zoom?

0 100
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i We adjusted the number you entered based on the slider’s scale.

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* 7. If less than 100% of your classrooms are able to live stream a program presented on Zoom, which grades are most likely to have that capability?

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* 8. Any other information that will help us to bring on-line programming to your students in the fall:

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* 9. Your Name, Title (optional):

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* 10. Your E-Mail Address (optional):

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