Request to Visit – School Administrator Elementary and Middle School

Questions marked with a * are required
100%
Elementary and Middle School Groups Form
Our group visits for Elementary and Middle School students are designed especially for those that fall under this age group to take a walking tour and experience what UTEP has to offer. The capacity for Elementary and Middle School groups is 100 students per session.
 
Please provide the following information (All fields required)
Organization/School Name: (Organización/nombre de la escuela)
Age of participants in group: (Edad de los participantes en el grupo)
Number of Students: (Número de estudiantes) 
Number of Chaperones: (Número de chaperones) 
Requested Visit Date: (Fecha de solicitud de visita)
Requested Time
Preferred language: (Idioma de preferencia) 
Do you require any ADA accommodations? (¿Algún miembro de su grupo tiene alguna discapacidad que requiera una adaptación?)
Field Trip Supervisor: individual that will be responsible for completing all necessary forms and accompanying group on day of visit. 
(Supervisor de viaje escolar: Persona responsable de cumplir con todos los documentos necesarios para la visita y que acompañará al grupo durante la visita. )
Field Trip Supervisor First Name: (Nombre del supervisor de viaje escolar)
Field Trip Supervisor Last Name: (Apellido(s) del supervisor de viaje escolar)
Contact Telephone Number: (Número de teléfono principal)Name
Contact Email Address: (Correo electrónico principal)
Please indicate if one of your main areas of interest is the Centennial Museum.
Notes / Comments: 
Select Captcha and Verify
Powered by QuestionPro