* Full Name: * School Name: * School Address: Address Line 2: * City: * State: Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Africa Armed Forces Americas (except Canada) Armed Forces Canada Armed Forces Europe Armed Forces Middle East Armed Forces Pacific Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon * Zip Code: * E-Mail Address: * Grade level taught:
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Have you gone on a field trip or do you plan to go on a field trip to the National Museum of Natural History? Yes No
Which exhibits or programs did your classes attend (or will your classes attend)? Please also indicate the topic from your curriculum (if any) that the exhibits or programs address.
Did you use any online or downloaded materials to help you plan for your field trip? Yes No
Number of students on field trip: Date of field trip: Time you arrived (or will arrive) at the museum:
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