Eisenhower National Historic Site

Student Education Program Reservation Form

 

Instructions:

  • Please complete all fields.
  • Please fill out one reservation form for each class requesting a program. The maximum number of students per program is 30.
  • To submit multiple requests, click your browser's "Back" button, change all necessary information, and click "Submit" again.

TEACHER INFORMATION:  
Classroom Teacher:
E-Mail Address:
School Name:
School Address:
City, State Zip Code: ,
Telephone:
Is your class or school on our mailing list? YES NO
Have you attended an National Park Service Agricultural Science/Environmental Education Workshop? YES NO
Have you attended an Advancing Science Workshop? YES NO
CLASS INFORMATION:  
Grade(s) Participating:
Number of Student Participants:
Number of Adult Participants:
Any Special Student Needs? (gifted; mobility, hearing or sight impaired; learning disabled; emotionally supported; etc.) If yes, please elaborate.
PROGRAM INFORMATION:  
Eisenhower NHS Programs - choose the desired program:

Soil (2.5 Hour Field Program)

Water (2 Hour Field Program)

Wildlife (2 Hour Field Program)

Forestry (1.5 Hour Field Program)
Advancing Science Programs:

Soil Testing (1.5 Hour Advancing Science Lab)

Where Does The Water Go? (1 Hour Advancing Science Lab)

Date(s) Needed: Please provide several possible dates and list in order of preference.

Programs are weekdays, 9/10 - 10/26 and 3/31 - 5/23

Start Time (9:00 am is preferred)
Comments concerning scheduling of your program:

 

Information will be sent to:

Eisenhower National Historic Site
250 Eisenhower Farm Lane
Gettysburg, PA 17325


Phone: 717-338-9114
Fax: 717-338-0821

 
Advancing Science at Gettysburg College
300 N. Washington St., Box 392
Gettysburg, PA 17325

Phone: 717-337-6150
Fax: 717-337-6157
e-mail: advancingscience@gettysburg.edu

 

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