JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Educational Program Request 2023-2024
Use this form to request a virtual program, a History Kit, a classroom visit, or an onsite museum field trip for K-12 students. We have availability for the 2023-2024 school year.
If you would like to request a visit or lecture for adult participants, please use this form:
https://forms.gle/NVpivenkWKEyXoP4A
To view program offerings and details, please visit
https://sites.google.com/view/sdhc-learn-at-home/home/k12-programs-from-sdhc
Have a question? Please email
k12programs@sandiegohistory.org
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Requestor's first and last name
*
Your answer
Requestor's Phone Number
*
Your answer
Lead Adult on Day of Program (if different than requestor)
Your answer
Lead Adult Email Address (if different than requestor)
Your answer
Lead Adult Phone Number (if different than requestor)
Your answer
Total Number of Student Participants (Max capacity for programs is 60 students per session; multiple visits & sessions can be scheduled to reach all students)
*
Your answer
Total Number of Adult Participants (for K-12 onsite field trips, we require at least 1 adult for every 8 students)
*
Your answer
Students' Grade
*
Your answer
School/Group Name
*
Your answer
District
*
Your answer
School/Group Street Address
*
Your answer
Is this a Title 1 School?
*
Choose
Yes
No or N/A
First choice program (Onsite programs are typically 1 1/2 hours in duration. Virtual programs and classroom outreach programs are usually 45 minutes to 1 hour.)
*
Choose
See Yourself Here (Grades 3-6)
Stories of San Diego (Grades K-4)
Mapping Balboa Park (Grades 3-8)
San Diego Before Statehood (not ADA accessible) (Grades 3-8)
San Diego Before Statehood (History Kit, Virtual Instruction, or Self-Guided)
LISTEN UP! Youth Oral History Workshop (Grades 2-12) (Outreach)
Second choice program
Choose
See Yourself Here (Grades 3-6)
Stories of San Diego (Grades K-4)
Mapping Balboa Park (Grades 3-8)
San Diego Before Statehood (not ADA accessible) (Grades 3-6)
San Diego Before Statehood (History Kit, Virtual Instruction, or Self-Guided)
LISTEN UP! Youth Oral History Workshop (Grades 2-12) (Outreach)
First choice date and start time
*
*Programs may start as early as 9am. We may or may not be able to accommodate start times after 10:30am
MM
/
DD
/
YYYY
Time
:
AM
PM
Second choice date and start time
*
*Programs may start as early as 9am. We may or may not be able to accommodate start times after 10:30am
MM
/
DD
/
YYYY
Time
:
AM
PM
Third choice date and start time
*Programs may start as early as 9am. We may or may not be able to accommodate start times after 10:30am
MM
/
DD
/
YYYY
Time
:
AM
PM
Please choose the type of program you would like to request and add topic information in the next question response. Visit
https://sites.google.com/view/sdhc-learn-at-home/home/k12-programs-from-sdhc
to see program topics and details.
Museum Field Trip (San Diego History Center or Junípero Serra Museum)
Classroom Outreach (we come to you!)
Live Virtual Field Trip
History Kit (teacher-led activities with provided resources)
History Kit, with live virtual educator
Clear selection
If requesting a virtual program, please share what technological resources are available to student and adult participants (please check all that apply)
Stable internet connection
Ability to view visual material online
Ability to hear audio presentation
Ability to participate in discussion/ask questions via microphone connection
Ability to participate in discussion/ask questions via typing in a chat box
Access to Zoom
Access to Google Hangouts or Meet
Access to another video meeting program
Please share any additional information/special accommodations our educators should know about your youth or students so we can best help them to succeed!
Your answer
How did you learn about Education Programs at SDHC?
*
Previously attended Education Program
Colleague or friend recommendation
SDHC email
Visited Balboa Park
Other:
Required
Send me a copy of my responses.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
