Science On Stage Visit Request Form

Science On Stage Visit Request Form

Please fill out the form below to request a reservation for a visit by our Science On Stage program!

Please answer all questions as completely as possible.

CALENDAR FULL

Our visit schedule for the the 2024-25 school year is now full.

Any additional requests received for the 2024-25 school year will be automatically waitlisted. If dates become available due to cancellation or rescheduling, schools on the waitlist will be contacted about any available dates. Schools remaining on the waitlist at the end of the school year will receive priority notice once requests open for the 2025-26 school year.

Our availability for Summer 2025 is not final. Requests for Summer 2025 will be waitlisted until availability is finalized, and our team will contact waitlisted groups about available dates at that time.

Requests for the 2025-26 school year will open late July/early August.

Contact Information

Your Name*

Your Email*

Your Phone*

Phone

Your Role*

Teacher, principal, STEM coordinator, etc.

Best Time of Day To Call

Billing Contact Name

Billing Contact Email

Billing contact will be copied on your invoice once confirmed.

Billing Contact Phone

School Information

School Name*

School County & District*

Please list both county and district (if applicable).

School Address:*

FULL address please. Include street number, street name, city, state, and zip.

School Office Phone*

Phone

Does your school require financial assistance from a scholarship in order to schedule a visit to your school?*

Morehead offers multiple opportunities for scholarships to cover one day of fees for our Outreach programs.

Scholarships are awarded to schools based on level of need, geographic location, and other factors to ensure that scholarship funds are offered equally to schools across the state in financial need.

By indicating "yes" below, your school will be added to our scholarship waitlist and will be evaluated for scholarship eligibility/availability once funds are made available at the end of the waitlist period.

Funds are typically made available in late August for visits tentatively scheduled in the Fall, and by late September for visits scheduled in the Spring.

Schools that request after the waitlist period will be evaluated for eligibility and awarded funding on a first-come, first-serve basis as funding remains available.

Yes

Please indicate any special needs that may apply to members of your group that we should be aware of:

If any of the special needs you listed require specific accommodations or you wish to share additional information, please elaborate below:

Ex. If you checked "deaf/hard of hearing", let us know if you need a sign language interpreter or other accommodations, or if you listed "learning disabilities," is there anything our educators should be aware of?

Visit Information

Please answer the below about your preferences for your visit date, time and locations.

Note: In order to plan educator travel efficiently such that we are visiting schools in nearby areas on the same week, we are unable to honor requests for specific dates in the vast majority of cases.

We will review your information provided below along with our travel schedule and offer the earliest available date on our calendar that we are travelling in your school's area.

Are you are requesting a regular school year visit, or summer visit?*

School Year (Sept-May)

Summer (Jun-Aug)

Summer availability is limited and we only schedule a handful of visits each summer. Summer requests are reviewed and scheduled in late spring (April-ish). Requests received prior to then are automatically waitlisted.

Please list any dates that your school is UNABLE to receive a visit.*

i.e. holidays, breaks, teacher workdays, testing, half-days, picture days, etc.

What are the best time(s) to do the sessions during the school day.*

Elaborate as needed. We do not schedule sessions earlier than 9am.

Please remember that we can only schedule 2 sessions per day, sessions are 60 minutes in duration, and a minimum of 30 minutes is required between sessions to reset.

Will this program be held at the same address listed above for your school/organization?*

Yes

Please list the address where the program will take place:*

FULL address please. Include street number, street name, city, state, and zip.

In what venue/room will this program be held?*

Venue should be large enough to accommodate your group along with ample space at the front of the room for the educator, a table for demonstrations, a power outlet, and 10ft of space between the demonstration area and students as a safety precaution.

Which grade level(s) will this visit serve?*

Select all that apply

Select or enter value

How many students will attend the program?*

A maximum of ~150 students can participate in each session, and we can schedule a maximum of two sessions per day.

If you wish to serve more than ~300 students, or otherwise need an additional session due to scheduling limitations or size of available room, a second visit date may be required.

Please use the space below to share any additional information you would like to assist Morehead in planning your school's visit.

If you have any preference on visit day/date range or specific months/weeks, use this space to elaborate.

Please note that we do not schedule visits on Mondays or Fridays.

We are usually unable to honor preferences for specific dates due to the volume of requests we receive.

While we will consider preference for certain months and dates when making our schedule, we will typically initially offer the earliest available date that our program is able to visit in your area before exploring dates later in the calendar.

Review & Submit

Review the fees and requirements for a Science On Stage visit, as indicated below

Please review the Fees and Requirements section of the Science On Stage webpage linked here.

Note that mileage fees are calculated based on round-trip distance from Morehead Planetarium via Google Maps, and that both the mileage and travel fees apply to visits over 90 miles from Morehead.

I have reviewed and understand the pricing structure and any venue/site requirements for the Science On Stage program.

Please review your contact information entered above and verify that it is correct.*

I have reviewed my contact information and verified that it is correct.

Send me a copy of my responses

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