Survey - Virtual Field Trips & Self-Guided Opportunities - Golden Gate National Parks Conservancy

1.

Teacher name and contact information (please use school email and optional personal number):

*

Name:

First Required	Last Required

*

Email: Required

Phone Number:

Yes, I would like to receive e-mail about the Golden Gate Recreational Area from the Parks Conservancy

*2.

Question - Required - School name:

(Maximum response 255 chars, approx. 5 rows of text)

*3.

Question - Required - School mailing address (including city and zip code):

(Maximum response 255 chars, approx. 5 rows of text)

*4.

Question - Required - Is this a Title 1 school?

*5.

Question - Required - Grade Level

(Maximum response 255 chars, approx. 5 rows of text)

*6.

Question - Required - Our education branch uses Webex and Microsoft Teams. What digital platform do you use?

(Maximum response 255 chars, approx. 5 rows of text)

*7.

Question - Required - How many students (1 class per program)? Please do not combine two classes of more than 10 students each without consulting site Education Program Manager.

*8.

Question - Required - Do your students need reasonable accommodations?

9.

Question - Not Required - If yes, please explain:

(Maximum response 255 chars, approx. 5 rows of text)

*10.

Question - Required - Program Name First Choice: Please refer to nps.gov/goga/learn/education for program descriptions and grades served.

*11.

Question - Required - Program Name Second Choice:

12.

Question - Not Required - Optional: If you selected OTHER in the previous two questions, enter your response below:

(Maximum response 255 chars, approx. 5 rows of text)