Page 1 - Personal Information

For the 2021-2022 academic school year, we will be offering field trips in three styles:
1. Virtually - via Zoom, students participate in a virtual field trip experience, time is flexible, field trips can run between 1 - 4 hours.
2. On-campus -> students will come to Northeastern for an in-person experience. Due to limited availability of space on campus, these are restricted to 1 classroom at a time, and only available on certain days throughout the school year. Please be aware that transportation is only provided for BPS schools. Non-BPS schools will be required to provide their own transportation to and from campus. We will not be providing food, but will provide water and space/time to eat lunch.
3. Reverse -> rather than students coming to Northeastern, we will come to your school to teach the field trip. This is only an option for schools who are within public transportation distance (i.e. we can take public transit to get to your school) or walking distance from Northeastern.

Please fill out the following questions if you are interested in one such field trip experience this academic school year. By completing this survey, you are not confirming your field trip; we will reach out to those teachers we select for a field trip.

More information on the program can be found here: https://stem.northeastern.edu/programs/ayp/fieldtrips/

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* 1. Name

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* 2. Contact Information

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* 3. School

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* 4. Your role at school (Classroom Teacher, Principal, Science Coordinator, etc)

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* 5. If a classroom teacher, what subject?

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* 6. Grade of students/group?

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* 7. Have you ever worked with us before? Check all that apply

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