USC Pacific Asia Museum Distance Learning Program Application Form 2023-2024

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Thank you for your interest in the USC PAM Distance Learning Program. We are offering live virtual sessions, Monday - Tuesday, beginning October 11, 2023 through May 17, 2024. The program is 2 parts: (1) hr artmaking workshop and (1) hr close-looking discussion. Sessions are scheduled on separate dates.

Complete all the information below and we will get back to you with the status of your application within two (2) weeks.

Email *

School Name *

School Address *

School District *

Grade *

Number of Students (40 max) *

Name of Contact (Teacher/coordinator) *

Contact Phone (Your cell number) *

Is your school public or private/independent? *

Public

Independent/private

Other:

Are you a Title 1 school? *

Yes

How will your class log into the virtual sessions? *

In-class, through their own devices

I will project the meeting on a large screen for the whole class

Both

None of the above

If you had chosen "none of the above", please detail how the students will log into the virtual sessions.

Does your class have an area of study (art, history, language, etc.)?

My group will include students who are/have (select all that apply):

Deaf or hard of hearing

Blind or low vision

Intellectual disabilities

English language learners

Limited mobility

Use a wheelchair

non-readers

non-verbal

Other:

Do you have any other requests, needs, or accommodations? Please share any questions you have for us and/or any information you wish to share about your class.

Suggest three (3) dates here for your close-looking session with a docent. Sessions range from 45 minutes to 1 hour. Include times. *

Please indicate up to three (3) alternative dates. Include times. *

Suggest three dates here for your artmaking session with a teaching artist. Sessions range from 45 minutes to 1 hour. Include times.
*

Please indicate up to three (3) alternative dates. Include times. *

A copy of your responses will be emailed to the address you provided.

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