Science Museum of Minnesota - At Your School

SITE INFORMATION

Organization: *

Physical (Site) Address:

City, State, and Zip:

CONTACT INFORMATION

Site Contact(s): *

Title: *

Phone(s): *

E-Mail(s): *

Preferred contact method: *

E-mail

Phone

Preferred time for us to call: *

PROGRAM INFORMATION

We are interested in scheduling the following program: *

Assembly Program: 50 minutes of dynamic science presentation for up to 250 students. NOTE: You may request up to 4 assembly programs in one day at a single site (topics may vary)

Residency Program: Combine breakout class sessions with an opening Assembly for an in-depth science experience in your school.

Residency Length:

1 Day

2 Days

3 Days

4 Days

Preferred Date(s)

1st choice: *

2nd choice: *

NOTE: The museum offers off-site programming Tuesday - Friday during the school year. Mondays are not available. Select weekend programs may be accepted on a case-by-case basis. Please call for more information.

Program Topics:

Please indicate which program topic(s) you are interested in having the museum present at your school.

Program Topic 1: *

Program Topic 2:

Program Topic 3:

Program Topic 4:

Total Audience Numbers:

Number of Adults:

Number of Students: *

Special Accommodation Needs:

Questions and Comments:



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Request a Program Thank you for considering hosting the Science Museum at your site. To begin the registration process, we ask you fill out our Off-Site Program Request Form with as much information as you are able to provide at this time. After submitting your request, our Registration Coordinator will contact you to guide you through the remainder of the registration process. SITE INFORMATION Organization: * Physical (Site) Address: City, State, and Zip: CONTACT INFORMATION Site Contact(s): * Title: * Phone(s): * E-Mail(s): * Preferred contact method: * E-mail Phone Preferred time for us to call: * PROGRAM INFORMATION We are interested in scheduling the following program: * Assembly Program: 50 minutes of dynamic science presentation for up to 250 students. NOTE: You may request up to 4 assembly programs in one day at a single site (topics may vary) Residency Program: Combine breakout class sessions with an opening Assembly for an in-depth science experience in your school. Residency Length: 1 Day 2 Days 3 Days 4 Days Preferred Date(s) 1st choice: * 2nd choice: * NOTE: The museum offers off-site programming Tuesday - Friday during the school year. Mondays are not available. Select weekend programs may be accepted on a case-by-case basis. Please call for more information. Program Topics: Please indicate which program topic(s) you are interested in having the museum present at your school. Program Topic 1: * Program Topic 2: Program Topic 3: Program Topic 4: Grade Levels: * Pre K K 1 2 3 4 5 6 7 8 Total Audience Numbers: Number of Adults: Number of Students: * Special Accommodation Needs: Questions and Comments:	At Your School Assemblies Residencies Regional Tours Request a Program Meet Our Instructors Other School Programs Field Trips Professional Development Science House Engineering is Elementary Educator Club Warner Nature Center
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Request a Program