MUSEUM@SCHOOL APPLICATION FORM

Teacher Name(Required)

Prefix First Last

Name of School

Phone Number(Required)

What is the best number to reach you at should the Canmore Museum have any questions related to your application.

Email(Required)

Please enter your personal school email or personal email where correspondence related to the program can be sent.

Enter Email Confirm Email

School Address(Required)

Mailing Address Physical Address City Province Postal Code

Program Fees (Required)

We are grateful for the support of our community funders including Lafarge Exshaw, the Calgary Foundation, and the Paterson Foundation for their support in developing the program and for helping to subsidize expenses related to the program so we can offer the program at a rate of $15.00 per student plus GST.

Price: $ 15.00 CAD

Total

Participation Confirmation(Required)

I confirm that, if my class were to be accepted into the program, that the school can be billed for the total cost shown above plus GST.

I confirm that, if my class were to be accepted into the program, that I will attend the one day Teachers’ Institute as an orientation to the program.

Reasons For Participating

Please write a paragraph outlining why your class would like to participate in this program.

Learning Outcomes(Required)

What are your desired learning outcomes for choosing this museum-based program?

Attachments(Required)

Please provide us with a letter of intent that introduces you, your students, and school community. Tell us about your theoretical background as it relates to teaching and learning in the museum environment. Please outline how you envision your year in the Museum@School program unfolding. Letters should be between 2 and 3 pages. Also attach a detailed a Year-Long Interdisciplinary Inquiry Plan (between 3 and f 5 pages in length). This centers around your "big idea" and how it will be applied using the lens of the Canmore community (localized experiential learning across classroom disciplines).

Drop files here or

Max. file size: 50 MB, Max. files: 2.

MUSEUM@SCHOOL APPLICATION FORM

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