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* 1. Basic Information

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* 2. Type of School

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* 3. Date of Field Trip

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* 4. Type of Tour

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* 5. Did your field trip visit result in positive educational outcome for students? (i.e student engagement, increased knowledge, stronger test or quiz scores)

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* 6. In general, do you think what your students have learned will improve how they perceive or treat others who are from backgrounds different than their own?

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* 7. During your debrief/follow up with your class, what were three "take-aways" from the field trip?

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* 8. How did our financial support impact your class?

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* 9. What other sources of funding, if any, did you investigate?

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* 10. How can we improve our process?

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* 11. Additional comments regarding your overall field trip experience:

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