Learning In Our Watershed Application

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Contact name: *

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Today's date: *

Month

Day

Year

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Position: *

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School: *

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Address: *

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City: *

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Zip code: *

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Contact phone: *

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Contact email: *

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Date of field trip: *

Month

Day

Year

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Transportation cost: * $

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Other allowable field trip cost: * $

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Total cost match: * $

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Amount requested: * $

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Destination: *

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Is this field trip on the pre-approved list? *

Yes

No

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Number of students: *

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Number of buses: *

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Number of adults: (teachers, aides, parents, chaperones etc) *

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What specific lessons or activities will you do while at the field trip destination?

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What district standards will be met by these lessons or activities? (Provide the standard(s), grade level expectation(s), and more details if you can.

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What are the specific connections between theses lessons or activities and your classroom curriculum?

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Please list the contact information if the destination is staffed by by professional educators. If you will be doing your own instruction, or some combination of the two, please explain..

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Explain how this field trip experience will be related to the history and development of water in the Cache la Poudre Watershed?

Part II

Part II should only be filled out if your destination is not on the approved list.

Disclaimer: the support for the PHA: Learning in Our Watershed Field Trip Program is dependent on funding from the federal government and may be suspended or partially funded beyond the control of PHA.

If your destination is on the per-approved list you are done! Scroll to the bottom of the form and click on submit. If you destination is not on the per-approved list, complete part II before submitting.

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