VIRTUAL CHITACTAC PROGRAM REQUEST

 
Sign in to Google to save your progress. Learn more
Email *
VIRTUAL FIELD TRIP OVERVIEW
“Chitactac Virtual” is a virtual school program aligned with the California Content and Next Generation Science Standards. Students will discover traditions of the native people who resided along the Uvas Creek for thousands of years. Students will explore photos, replica tools and a video as evidence of habitation during their 45 minutes to 1-hour virtual field trip. The program will explain how the native people lived and respectfully managed the land, and its importance to the Amah Mutsun Tribal Band’s life today.

Tips:
*** If you want to schedule more than one class, you MUST complete a separate request form for each class. 
-The virtual program is scheduled only on Tuesdays during the week.
- Park staff will email a booking confirmation letter once your field trip is approved.
- If none of your preferred dates are available, we will contact you to discuss alternatives.
- We can accommodate one class (up to 35 students per scheduled date) unless the school has enough wifi bandwidth to accommodate a larger group. 

PREFERRED DATES
1st Choice Date *
2nd Choice Date *
3rd Choice Date *
If none of your top 3 selected dates and times are available, please let us know any scheduling preferences that can help us find a date that will work. For example, if you can only do a certain day of the week or only within a particular time frame, that is helpful to know. *
CLASS INFORMATION

*** If you want to schedule more than one class, you MUST complete a separate request form for each class. 

Name of School *
Grade level *
Number of students  (min. 15, max. 35) *
Name of Teacher/Group Leader (If making separate requests for more than one teacher, this name should be a different name in each request.) *
Has your class participated in a virtual program before? *
What remote learning platform do you use?
Special Needs/Connectivity Issues
This program takes place virtually. Knowing in advance if anyone in your group will require accommodation for visual, aural, cognitive or other special needs will allow us to make any needed arrangements to best support your students. We can also make some program adjustments for connectivity issues. Please list any special needs or connectivity issues for your group to help us meet their needs.
Please describe special needs/connectivity issues, if any.
Anything else you'd like us to know about your group?
CONTACT INFORMATION
Please provide the direct phone number and email address of the teacher/group leader so we can send program information, updates, or any last-minute questions or issues (e.g. staff illness, connectivity issues on County Parks side).
Preferred phone Number of Teacher/Group Leader (If making separate requests for more than one teacher, this phone number should be different for each request.) *
Alternate Email (If making separate requests for more than one teacher, this email address should be different for each request.)
Mailing Address of School (ex: 123 Main Street, San Jose, CA 95120) *
Phone Number of School *
PROGRAM FEES: None
Santa Clara County Parks no longer charges a fee for school programs.

NEXT STEPS
You should receive an auto-generated email with a copy of your form submission. If you do not receive this within 48 hours please check your spam folder and/or email education@prk.sccgov.org.

Park staff will contact you within 1-2 weeks to confirm the details of your virtual field trip request. If you have additional questions about your request, contact education@prk.sccgov.org.
THANK YOU FOR YOUR REQUEST
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms