Biodiversity Program Request Form

Education
Programs
offered

Education Home Page

Summer Workshops for Teachers

The Chumash: A Changing People, A Changing Land- 3rd-4th grade

Parks as Laboratories: Studies of Land, Water, and Air- Middle School

National Park Labs: Studies of Wildland Fire Ecology-High School

EcoHelpers- Middle and High School

National Park Legacy- 1st through 12th Grades

Struggle and Opportunity: A California Cultural Journey- 3rd through 5th Grades

Internships College Students

2009-2010 At Park
Biodiversity Program
Request Form

The Chumash: A Changing People, A Changing Land

By submitting this form, you are requesting to be added to a list of educators requesting the Biodiversity, at-park, ranger guided program.

This request DOES NOT guarantee your program reservation. In order to better serve all area schools, the National Park Service has established an order for program priority. (See Priority Order Information). To get more information about our teacher workshops this summer, which will improve your position on the priority list, click here.

We will contact you via mail, e-mail, or the phone number(s) you provided to confirm the date and time of your program. If you are off-track during September or difficult to reach, please include a home address and phone number on the program request form.

Your request is being sent via e-mail to the Santa Monica Mountains National Recreations Area Education Offices (805-370-2348). It is not encrypted and may be viewed by anyone with web access, see disclaimer for more information.

All information marked with an asterisk (*) is required. Please fill this information in completely or we will not be able to fulfill your request.

School Information:


*School Name
*School District
*Address 1
Address 2
*City
*State or Province
*Zip Code

Contact Person's Information
Name
*E-mail
Phone Number(s) Please include area code.
This is a 3rd or 4th grade program, usually given on Monday, Tuesday, or Wednesday. Maximum number of students is 60 per visit. 10:00 AM-Noon. (Times can be adjusted to fit school schedules. If you have more than 60 students, please apply for an additional day.)
Teacher 1
Grade
Number of Students
Number of Adults
Teacher 2
Grade
Number of Students
Number of Adults

Teacher 3
Grade
Number of Students
Number of Adults

Transporation :

Private Bus

Private Car

District Bus

*RTP Bus

*Note: RTP buses are only available to schools that fax an RTP request to us 6 weeks prior to the program. The RTP application will be sent to the schools along with program confirmation once we have selected your program date.

Although we may not be able to accommodate your request, please feel free to list preferred dates.

Preferred Dates:

Indicate dates that will not work for you:
We do these programs from 10/1 to 6/10. We do not do programs on weekends, or the following dates: 10/12, 11/11, 11/26, 12/18 through 1/4/2010, 1/18, 2/15, 5/31.
Please list other dates that won't work for you.
(Include: vacations, holidays, testing periods) Note: Please list your Spring Break dates, each school is different.)
Dates to Avoid:
Dates to Avoid: