Get Hip to Habitat 2020-2021 Program Registration Get Hip to Habitat 2020-2021 program costs are $10/student. Limited program scholarships will be given to schools expressing need. If you would like to be a scholarship candidate, please complete the scholarship questions at the end of the application. OK Question Title * 1. What is your first name? OK Question Title * 2. What is your last name? OK Question Title * 3. Email address: OK Question Title * 4. Phone: OK Question Title * 5. School: OK Question Title * 6. School district: OK Question Title * 7. School address: OK Question Title * 8. Is your school a Title 1 School? Yes No OK Question Title * 9. What is the best way to contact you? Email Phone (call or text) Other (please specify) OK Question Title * 10. Grade(s) taught 6 7 8 9 10 11 12 Other (please specify) OK Question Title * 11. How many students would you like to participate in Get Hip to Habitat? OK Question Title * 12. Get Hip to Habitat Option Choice (please read 2020-2021 program document prior to choosing): Option A (Wetland on Campus) Option B (Wetland at Home) Option C (Hybrid: Wetland on Campus & at Home) OK If you chose Option B or C: Free kits are limited due to cost ($10/kit). Please request only the amount of kits you will need and be flexible as GBF will be reviewing applications from all schools to determine final numbers. Kits include marsh stem, 1-gallon pot, bucket, soil, measuring tape, hydrometer, pH strips & salt. OK Question Title * 13. Number of kits requested (for option B & C only) OK Question Title * 14. Number of wetland habitat pools requested (for option A & C only) OK Question Title * 15. Have you ever participated in a GBF education program before? Check all that apply Yes, in Get Hip to Habitat Yes, in other GBF programs No Other (please specify) OK Scholarship questions: If you would like to be a scholarship candidate, please complete the following questions below. Skip questions 16 - 17 if this does not apply to you. OK Question Title * 16. Describe why your school is a candidate for an education scholarship and what financial barriers your school and students face. OK Question Title * 17. Would you be able to participate with a partial scholarship? OK Thank you! We will email you once all applications have been reviewed. OK DONE