EmailMe Form - Destination Ag Virtual Program Form

Group and Contact Information

School Name *

Contact Person *

Phone *

### - ### - ####

Email *

preferred means of contact

Confirm email

School District *

Date of Program *

MM / DD / YYYY

This date should be already assigned by your district. If you do not have a date yet, contact your prinicipal or district curriculum director.

Program Details

Please provide the below information to finalize your virtual program experience. Refer to the Virtual Lead Teacher Guide for further information.

Grade(s) *

Estimated # of Students *

Maximum 100 participants if logging individually into meeting.

# of Classes *

Preferred Program Time(s) *

9am-10am

10:30am-11:30am

12:30pm-1:30pm

2pm-3pm

One session time can have 5 classrooms joining with their teacher (and some individual joiners) or 98 individuals joining. Please choose the number of session times you need to fit all your students (ex: 6-10 classes will need two sessions). If none of these times work, contact the Museum.