Mobile Labs - Middle School Visit Request Form | Morehead Planetarium
Please fill out the form below to request a reservation for a visit by our Mobile Labs program! Please answer all questions as completely as possible.
Please make sure you plan for 60-90 minutes per lab session (depending on visit type) for a max of 24 students per session, with a maximum of 3 total sessions per day. More information about the requirements and options for our Mobile Lab 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
How long are your class periods?
This info will help us plan times for when your classes will have labs. Note that middle school sessions are 60 minutes long for bus visits, and 90 minutes for educator visits, and must have 15 minutes minutes between sessions for re-set.
Please list any and all weekdays that your school would be unavailable to receive a visit from the Mobile Lab 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.
Visit Type & Visit Semester Information
When would you like to schedule your Mobile Lab visit?
Educators will attempt to book to your semester's preference, pending the program's travel schedule and availability. You can request up to 1 visit per semester, per school year.
1st Semester (September - January)
2nd Semester (February - June)
Both (2 visits, 1 each semester)
No Preference (1 visit, any semester)
Which kind of Mobile Lab visit would you like to request for your school?
Bus Visits include our fully-equipped 40-foot customized bus, with labs sessions led by Morehead educators for up to three, 60 minute sessions.
Cost: $350 (1-day visit), $275/ea. consecutive day.
Educator visits do not include the bus and are 90 minutes instead of 60; our Morehead educator leads lab activities in your classroom with our equipment. A school staff member’s presence is still required for safety and liability reasons, and to assist with classroom management.
Cost: $200 (1-day visit), $150/ea. consecutive day.
If you are requesting a Bus visit, where can the bus be parked for the duration of your visit?
Be specific - our driver will use this information to park in the appropriate space so that the bus won't need to be moved after arriving and setting up for classes. If you don't have this info yet, you can leave it blank, but we will need this information prior to your visit.
Available Curriculum Modules
Our Mobile Labs Educators offer the following Curriculum Modules for Middle Schools.
Code Red (Simulated Blood Typing)
Genes in a Bottle (DNA Extraction)
So Fresh, So Clean (Water Treatment)
What's Snot To Like? (ELISA Test)
Learn more about each Curriculum Module online at the link provided (opens in new tab).
Use this information to specify which modules you would like for each of your classes in questions below. Please note that due to the difficulty in switching between modules quickly, we usually cannot accommodate scheduling different modules on the same day.
How many classes do you want to schedule for Mobile Lab sessions?
Please note that the Mobile Labs program can only accommodate 24 students per session. Sessions are 60 minutes long for bus visits and 90 minutes for educator visits, with a minimum of 15 minutes between, and up to 3 total sessions/day. Schools requesting more than 3 sessions, or more than one module for their visit, will require multi-day visits.
For each class or group you wish to schedule, please provide the following information:
CLASS 1,2,3 etc.
Time (if known):
# Students in Session (24 max):
This text box expands quite a bit; feel free to copy and paste as needed to list all of your classes.
CLASS 1 Grade Level(s): Module Requested: Time (if known): # Students in Session (24 max): CLASS 2 Grade Level(s): Module Requested: Time (if known): # Students in Session (24 max): CLASS 3 Grade Level(s): Module Requested: Time (if known): # Students in Session (24 max): etc....
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 a Mobile Labs visit, as indicated below.
Review the pricing structure AND requirements below for the Mobile Labs program, also provided online at the link below, in the section labelled "Fees and Requirements". Link opens in new tab.
$350 - first day.
$275/day each additional, consecutive day.
$200 - first day.
$150/day each additional, consecutive day.
$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: 3
Session Participants: 24 (max)
Session length (bus): 60 min - 15 min between sessions.
Session length (educator): 90 min - 15 min between sessions.
I have reviewed and understand the pricing structure and requirements for the Mobile Labs 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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