Survey - Education Program Field Trip Application

Education Program Field Trip Application

Thank you for your interest in education programs at the Allen Institute. We offer a limited number of field trips to the Institute for high school, college, graduate student, and community groups. Please complete the application below to let us know about your group and why you are interested in visiting the Allen Institute. We will respond to your application as soon as we are able.

Please note that the application should be completed by the educator or group lead who will be chaperoning the tour. We request a minimum of 12 attendees to run a field trip program.

Please also take a moment to review our event code of conduct and privacy policy.

* = Required field

Field Is Required What should we call the group/class that is coming?

Your contact information

Field Is Required First

Field Is Required Last

ZIP / Postal Code:

Field Is Required Email:

Yes, I would like to receive periodic emails from the Allen Institute with information, news and events.

Field Is Required Contact phone number for day of field trip

Field Is Required Job title

Field Is Required Institution

Field Is Required Institution address (Maximum response 255 characters)

Field Is Required Level of students

Field Is Required Approximate number of students (we request a minimum of 12 attendees and can typically accommodate up to 32 people, including chaperones)

Field Is Required Approximate number of chaperones

Field Is Required Please describe your interest in the Allen Institute and how it relates to your students' ongoing learning. (Maximum response 255 characters)

Field Is Required Are there subject areas in your current or planned curriculum related to the Allen Institute's research? (Maximum response 255 characters)

Field Is Required What is your preferred date range, days of the week, and times of day? In order to accommodate the application review and scheduling processes, please plan for dates at least 2 months in the future. (Maximum response 255 characters)

Field Is Required Which of the following field trip agenda items would your group be interested in? Select all options that interest you and keep in mind that most field trips include up to 3 of the following options. Please make at least 2 selections from the choices below.

Building tour
STEM careers panel
Research talk
Lesson activity with scientists
Web resources demo to learn how to use our open data tools
Learn about college internship and early career opportunities from our recruiting team
Lab tour (all attendees must be at least 18 years of age for this option)

Field Is Required How will your group be arriving to the Allen Institiute?

We ask all groups to organize their own transportation to and from our programs. However, we have funding available to provide financial support to reimburse costs for a school bus if needed. Is this something your group is interested in being considered for?

Does anyone in your group have any special needs that we can provide accommodations for? (Maximum response 255 characters)

Is there anything else we should know about your students or application? (Maximum response 255 characters)

Thank you for completing the application. We will respond to your application as soon as we are able. In the meantime, we also welcome you to explore our online resources for educators, available on our website at alleninstitute.org/education.