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Yale Peabody Museum
2023 Yale Peabody Museum School & Group Program Request Form
1.
School or Organization Name:
2.
Has your school district scheduled field trips to the Peabody Museum in the past?
Yes
No
I don't know
3.
Is your district interested in participating in virtual Peabody Museum programs taught remotely by museum educators and featuring Yale scientists and Peabody Museum specimens?
Yes
No
I don't know
Other (please specify)
4.
If Yes to Question 3, which grade levels do you feel could most benefit from our programs? (click all that apply)
Elementary
Middle
High School
Other (please specify)
5.
Which of the following programs would be of most interest to you and your teachers?
Human Origins
Animal Adaptations
Connecticut Wildlife
Food Webs & Energy Pathways
Habitats & Human Impacts
Introduction to Evolution
Plants & Pollinators
Landforms: Evidence of a Changing Earth
Properties of Rocks & Minerals
Introduction to Dinosaurs
Dinosaurs: Recent Discoveries and Theories
PaleoWorlds: Interpreting Prehistory Through Fossils
Other (please specify)
6.
Any other information that will help us to bring on-line programming to your students in the fall:
7.
Your Name, Title (optional):
8.
Your E-Mail Address (optional):