After-school Enrichment Visit Request Form | Morehead Planetarium
Please fill out the form below to request a reservation for a visit by our After-school Enrichment program! Please answer all questions as completely as possible.
Please make sure you plan for 30-60 minutes per session for a max of 20 students per session, and up to 4 sessions per day. More information about the requirements and options for our Classroom Enrichment program at the link below. (opens in new tab)
Our spring and summer 2018 visit schedule is now full. For schools - feel free to request a visit for school year 2018-19 and your request will be waitlisted until we start processing school year requests over the summer.
First and Last, please.
Primary Phone: Secondary Phone: Best time to call:
### Street Name
City, NC Zip
Billing Contact Information:
Your invoice will also be sent to this contact.
Name: Email: Phone:
School Day Length:
ex. 9AM Start - 3PM Dismissal
Please list any and all weekdays that your school would be unavailable to receive a visit from the Afterschool Enrichment Program:
i.e. Holidays, Teacher Workdays, Testing, Half-days, etc.
Are you requesting a joint visit with another school in your county? If so, please elaborate. Otherwise leave blank.
Please include School Name, Teacher Name, and Phone number for each school you are partnering with.
Would you like to apply for a scholarship for your visit?
Morehead offers multiple opportunities for scholarships to cover some or all of the cost of our Outreach programs. Different scholarships have different eligibility requirements, such as free/reduced lunch percentage, title 1 funding, or which county the school is in. Please learn more about our scholarships here: (link opens in new tab)
What percentage of your school's enrollment has free and reduced lunch?
Schools with 76% reduced lunch or more are eligible for our Jupiter Ball scholarship as funds permit. Schools must be listed on NC DPI website or documentation must be provided by school's Principal.
Which program(s) are you intersted in scheduling for your After-school Enrichment Visit?
We offer the following programs for After-school Enrichment visits:
Adaptation 101: Recommended for Grades K-2, 4-5
Chem-mess-try: Recommended for Grades 2-3, 6-8
Newton in Motion: Recommended for Grades 3-5
Star Power: Recommended for Grades 3-4, 6-7
Weather Wise: Recommended for Grades 4-5, 7
Learn more about each program option online at the link provided (opens in new tab).
Which grade level(s) would be served during your After-school Enrichment Visit?
i.e. 3rd-5th etc.
How many students attend your After-school program?
At what time would you like to schedule your After-school visit?
Please list any special accomodations your students may require during your visit:
Include things like hearing/vision impaired, etc.
Please use the space below to share any additional information you would like to assist Morehead in planning your school's visit.
Review and Submit
Review the fees and requirements for an After-school Enrichment visit, as indicated below.
Review the pricing structure AND requirements below for the After-school Enrichment program, also provided online at the link below, in the section labelled "Fees and Requirements". Link opens in new tab.
$150 (2 hrs.)
$75/hr each additional hr.
$200/day for schools more than 90 miles from Chapel Hill, NC.
$50/day for schools less than 90 miles from Chapel Hill, NC.
Max Sessions/day: 4
Session capacity: 20 students.
Session length: 30-60 minutes.
I have reviewed and understand the pricing structure and requirements for the requested Enrichment 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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