Interest Form
K-12 Field Trips, Post Secondary Visits, Potential Research, & Events/workshops
General Contact Information
Organization/group Name
*
Contact Person
*
First Name
Last Name
Contact Person Phone Number
*
Please enter a valid phone number
Format: (000) 000-0000.
Contact Person Email
*
example@example.com
Area of interest
*
K-12 Field Trip Request
Post-secondary visit
Potential research
Events and workshops
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Post-secondary visit
Course, Program, or Organization Name
Number of Students Attending
*
Number of Faculty/Staff Attending
*
Area(s) of Study Represented
Biology
Environmental Science
Ecology
Forestry
Agriculture
Teacher Education
Natural Resources
Geology
General Education
Other
Other
Arrival date and time
*
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Month
-
Day
Year
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Hour Minutes
AM
PM
AM/PM Option
Departure date and time
*
-
Month
-
Day
Year
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Hour Minutes
AM
PM
AM/PM Option
Type of Visit
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Day Visit
Overnight Visit
Please describe your learning objectives or goals for the visit
Will overnight lodging be needed?
*
Yes
No
If yes, how many individuals will need lodging?
Linens provided for additional $15 (sheets & towels)?
Yes
No
Will meals be needed?
*
Breakfast ($15/person
Lunch ($15/person)
Dinner ($20-25/person)
No Meals Needed
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Potential research
Project Title
*
Research Objective
*
Project Abstract
*
Anticipated Project Start Date
*
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Month
-
Day
Year
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Anticipated Project End Date or Total Length of Project
*
Frequency of Site Visits
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One-time visit
Weekly
Bi-Weekly
Monthly
Seasonal
Other (Please describe on next question)
Will this project involve any modification of the natural environment?
*
Yes
No
If yes, please describe the modification(s)
Will the removal or capture of organisms occur?
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Yes
No
If yes, please list taxa and approximate quantities
Will the use of a CBC utility vehicle (UTV) be required?
*
Yes
No
Approximate Number of Researchers or Students Involved
*
Additional Equipment or Special Access Needs
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Events and workshops
Event type
*
Meeting
Workshop
Retreat
Celebration
Training
Other
If Other, please describe
Arrival date and time
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Departure date and time
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Event description
*
Event location (select all that apply)
*
Hubbard House
River Pavilion
Education building/classroom
Estimated number of people in attendance
*
Will audio/visual equipment be needed?
*
Yes
No
If yes, what will be needed?
Will overnight lodging be needed?
*
Yes
No
If yes, how many individuals will need lodging?
Linens provided for additional $15 (sheets & towels)?
Yes
No
Will catering be needed?
*
Yes
No
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K-12 Field Trip Request
Name of School Group/Department
*
Lead Teacher
*
First Name
Last Name
Lead Teacher Cell Phone
*
Please enter a valid phone number
Format: (000) 000-0000.
Lead Teacher E-mail
*
example@example.com
Arrival date and time
*
-
Month
-
Day
Year
Date Picker Icon
Hour Minutes
AM
PM
AM/PM Option
Departure date and time
*
-
Month
-
Day
Year
Date Picker Icon
Hour Minutes
AM
PM
AM/PM Option
Specific Details
A total of 40 individuals for a single day field trip. This includes all adults and students. Overnight a total of 22 total adults and students is all that we can accommodate.
# of Students Participating in trip
*
# of Teachers/Adults
*
Lunch option choices
*
We would like pizza as our lunch option for $15/person
We would like ham or turkey sub sandwiches as our lunch option for $15/person
We DO NOT need lunch from the CBC, we will bring our own.
Trip Programing
Please select which programing you would like during your trip. If you do not see what you want, select other and someone will be in contact for planning.*Trips 3 hrs or less, select 1*Trips 4hrs, select 2-3*Trips 5-7, select 3-4. Program descriptions in document below.
Program choices
*
Nature's Patchwork: Discovering Plant Diversity
Discovering Life Beneath the Surface (cave)
Rivertopia: The Macro Mission
Soil Sleuths: Digging into Living Earth
Go with the Flow: Testing River Health
Eyes of a Scientist: Observing Nature
Zoom In, Zoom Out: A nature Journaling Adventure
Orienteering
Where do they live?
What Went By?
Plant ID (Leaf Rubbing & ID)
Mark & Recapture
Day of sampling
Bird Watching
Pollinators
Career Opportunities
Research Skills
Data, Data, Data
Energy on the Move
Triangles All Around
Canoe Trip ****This is a cost of $25/person with a max of 20 students****
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Thank you for inquiring about working with UWA Cahaba Biodiversity Center! We will contact you soon!
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