Catalog of Education Program Questions_2021_Final_7_9_2021.xlsx

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Overview

Catalog of Education Program Qu
Sleepover Information Collectio

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Sheet 1: Catalog of Education Program Qu

====== ID#AAAALlWS-8g (2021-03-01 20:41:01) Add email address -Kathleen Munn GENERAL ADMISSION TOUR (Kennedy and GWB)
Type of group:
	Select:	School
		Church
		Civic
		Tour Group
		Other _______________________
Has your group visited before?
	Select:	Yes	No
Mailing Address: (City, State, Zip Code)
	Fill in the blank
Daytime Phone Number:
	Fill in the blank
Type of tickets requested:
	Fill in the blank:	Adult _____
		Senior (62+) _____
		Youth (13 - 17) _____
		Children (5 - 12) _____
		Child (5 - 12) _____
		Infant _____
		Military (Retired) _____
		Military (Veteran) _____
		Military (Active Duty) _____
		(Insert Affilliated University Name) Student, Faculty, and Staff _____
		College Student (Non-Insert Affilliated University Name) _____
Questions or comment:
	Fill in the blank
EDUCATION TOUR / SITUATION ROOM EXPERIENCE / BUS SCHOLARSHIP REQUEST (Kennedy, Reagan and GWB)
Confirm number participants and chaperones:
	Fill in the blank:	Pre-K _____
		Kindergarten _____
		1st - 5th grade _____
		6th - 8th grade _____
		9th grade _____
		10th grade _____
		11th grade _____
		12th grade _____
		Undergraduate _____
		Graduate _____
		Educator _____
		Chaperone _____
		Parent _____
		Adult _____
		Participants _____
Date of visit? Select date:
What time will participants arrive for the Situation Room Experience? The Situation Room Experience is two and a half full hours. Please plan to spend at least THREE HOURS in the simulation.
	Fill in the blank:
What time will participants arrive for the Situation Room Experience? The Situation Room Experience is three full hours (half-day). Please plan to spend at least FOUR HOURS in the simulation.
	Fill in the blank:
What time will students arrive? Select time:
What time will participants arrive? Select time:
Self-guided Presidential Library Tour
	Check the box
Docent-led Presidential Library Tour
	Check the box
	Select:	Museum
		Special Exhibit
		Park
Guided-School Program
	Check the box
Museum-Educator Program
	Check the box
Transportation to museum:
	Select:	Bus
		Car
		Bus and Car
Will you need a bus scholarship?
	Select:	Yes	No
We are happy to offer financial assistance. Will you be requesting funding?
	Select:	Yes	No
Actual bus cost estimate:
	Fill in the blank
Statement of financial need from the school principal:
	Essay response
Teacher signature:
	Sign and Date
Principal signature:
	Sign and Date
Lunch plans:
	Select:	Bring Sack-Lunches
		No Lunch
		Pre-order Box Lunches
		Cater-in
Executive lunch plans:
	Select:	No Lunch
		Pre-order Box Lunches
		Café & Pub
		Buffet
On-site contact name: (first and last)
	Fill in the blank
On-site contact cell:
	Fill in the blank
On-site contact e-mail:
	Fill in the blank
Independent home school:
	Select:	Yes	No
Region:
	Fill in the blank
School district:
	Fill in the blank
Type of school:
	Select:	Charter
		Private
		Public
		Other ___________________________
Organization name:
	Fill in the blank
Organization address: (street number and name, city, state, and zip code)
	Fill in the blank
Organization website:
	Fill in the blank
Principal or head of organization name: (first and last)
	Fill in the blank
Principal or head of organization direct number:
	Fill in the blank
Principal or head of organization e-mail address:
	Fill in the blank
Is there anything special we should know about your group?
	Fill in the blank
Do you need meeting space?
	Select:	Yes	No
Field trip confirmation number:
	Fill in the blank
Agenda
	Fill in the blank
Pre-packet sent
	Check the box
Representative submitted signed policy and use agreement.
	Check the box
RESEARCH PROGRAM QUESTIONS (NYC)
Date of visit:
	Fill in the blank:	1st choice: __________________
		2nd choice: __________________
		3rd choice: __________________
Expected time of arrival?
	Fill in the blank
Duration of visit:
	Fill in the blank
Number of students:
	Fill in the blank
Number of educators and chaperones:
	Fill in the blank
Grade level:
	Fill in the blank
Type of class: (history, research, civics, language arts, other)
	Fill in the blank
Location of program:
	Select:	On-site
		Off-site
Topic selection:
	Select:	Immigration
		World War II
		The Bill of Rights
		Inventions
		Desegregation
		Genealogy
		Civil Rights
		The New Deal
		Women's Rights
		Copyright
		Court Cases
		Labor
		Prohibition
		Cold War
		Great Depression
		Maritime
		Photographs
		Civil War
		The Constitution
		Disaster at Sea
		That's Entertainment
		Other ________________________________
Teacher's name:
	Fill in the blank
School name:
	Fill in the blank
Street address:
	Fill in the blank
City:
	Fill in the blank
State:
	Fill in the blank
Zip code:
	Fill in the blank
E-mail:
	Fill in the blank
School phone number:
	Fill in the blank
Cell phone to reach you if needed the day of the visit:
	Fill in the blank
Would you like to receive the Education Updates Blog from the National Archives?
	Select:	Yes	No
TRAVELING TRUNK PROGRAM (Reagan and GWB)
Traveling Trunks may be rented for 2 week or 4 weeks by an educator, administrator, or school district:
	Select:	One week
		Two Weeks
		Four Weeks
Pick-up or ship:
	Select:	Pick-up
		Ship
Payment method:
	Select:	Check
		Credit Card
Payment information (name,credit card number, expiration date, security code, account number, routing number)
	Fill in the blank
Billing address: (street number and name, city, state, and zip code)
	Fill in the blank
Shipping address: (street number and name, city, state, and zip code)
	Fill in the blank
EDUCATOR WORKSHOP QUESTIONS (Reagan)
Can you attend?
	Select:	Yes, I'll be there	No, I cannot attend
Full name:
	Fill in the blank
First name:
	Fill in the blank
Last name:
	Fill in the blank
E-mail address:
	Fill in the blank
Phone number:
	Fill in the blank
How many persons will attend?
	Fill in the blank
What company or school are you associated with?
	Fill in the blank
What is the name of the school or organization where you teach?
	Fill in the blank
If you are an educator, what grade levels do you teach?
	Fill in the blank
How did you hear about this event?
	Fill in the blank
FILM THIS! QUESTIONS (Reagan) (ages 14 - 19)
Student Name
	Fill in the blank
I am interested in attending:
	Select:	Session A
		Session B
Paid or Scholarship
	Select:	Paid
		Scholarship
Student email
	Fill in the blank
Parent email
	Fill in the blank
Parent Signature
	Sign and Date
Student Signature
	Sign and Date
Write one paragraph explaining why you would like to participate in the Reagan Student Media Seminar.
	Essay response
Write one paragraph describing your experience with film and media.
	Essay response
Describe your reasons for needing financial assistance.
	Essay response
How much of the amount are you able to pay?
	Essay response
Which session would you prefer?
	Essay response
ONLINE / DISTANCE LEARNING QUESTIONS (Reagan)
What are the names of people attending webinar?
	Fill in the blank
What is your school name and field trip date?
	Fill in the blank
Which session date do you plan to attend?
	Date is selected from a drop down menu of options.
What is your email address?
	Fill in the blank
PROFESSIONAL DEVELOPMENT WEBINAR (LO including Archives 1, New York, College Park)
Teacher Name
	Fill in the blank
Title
	Fill in the blank
Phone Number
	Fill in the blank
Education Institution/Organization Name
	Fill in the blank
====== ID#AAAALlWS-8U (2021-03-01 20:41:01) Delete Question -Kathleen Munn Address 1
	Fill in the blank
====== ID#AAAALlWS-8M (2021-03-01 20:41:01) Delete Question -Kathleen Munn Address 2
	Fill in the blank
City
	Fill in the blank
State
	Fill in the blank
====== ID#AAAALlWS-9c (2021-03-01 20:41:01) Delete Question -Kathleen Munn Zip
	Fill in the blank
====== ID#AAAALlWS-78 (2021-03-01 20:41:01) Updated Language -Kathleen Munn Select a Webinar
	====== ID#AAAALlWS-8Q (2021-03-01 20:41:01) Add 2 new by-request webinar programs -Kathleen Munn An Introduction to DocsTeach: Discover DocsTeach.org, the online tool for teaching with documents from the National Archives.
	Teaching the Charters of Freedom: Join the National Archives for a hands-on session and discover resources for teaching the founding documents of the United States.
	====== ID#AAAALlWS-8E (2021-03-01 20:41:01) We use individual versions of this form for program titles that are offered at set dates/times each year, program titles are often unique to that year-I thought this might be better to capture that -Kathleen Munn Fill in the blank from a menu of rotating webinars
	====== ID#AAAALlWS-8o (2021-03-01 20:41:01) Delete old webinar offerings -Kathleen Munn National History Day & Online Catalog
	Using & Creating DocsTeach Activities
	Bringing Native American Voices into your Classroom
	Introduction to New American Indian & Alaskan Native Resources and Programs
	Bringing Native Voices into the Non-Native Classroom
	The Making of American Indian Treaties
	Citizen Archivists in the Classroom Using the New "Native Communities" Program and DocsTeach
	Native American Stories about the Lewis and Clark Expedition
	Teaching the Indian Removal Act of 1830
	Penpals from the Past: American Indian Schools in the United States
Select a Time Zone (for by-request webinars only)
	Alaska Standard Time
	Atlantic Standard Time
	Central Standard Time
	Eastern Standard Time
	Hawaiin-Aleutian Standard Time
	Mountain Standard Time
	Pacific Standard Time
====== ID#AAAALlWS-9I (2021-03-01 20:41:01) Delete this question-we do not need to ask this for webinars -Kathleen Munn Connection Preference
	Select:	Webcam/Computer/Desktop Web Conferencing Software
		Traditional Video Conferencing Equipment/IP (H.323) Connection
		Unsure
Preferred Date 1 (for by-request webinars only)
	Fill in the blank
Preferred Time 1
	Fill in the blank
Preferred Date 2 (for by-request webinars only)
	Fill in the blank
Preferred Time 2
	Fill in the blank
Preferred Date 3 (for by-request webinars only)
	Fill in the blank
Preferred Time 3
	Fill in the blank
Number of Participants
	Fill in the blank
Occupation
	Fill in the blank
Grade Level
	====== ID#AAAALlWS-70 (2021-03-01 20:41:01) This should be fill in the blank -Kathleen Munn Fill in the blank
	Select:	K-2
		Grades 3-5
		Grades 6-8
		Grades 9-12
		Higher Education
		Other
Special Accommodations
	Select:	Yes	No
	Space to write in any special accommodations.
Comment or Questions
	Space to write in any comments or questions.
Connect with the National Archives
Would you like to receive emails about new teaching tools, lesson plans, online activities, field trips, professional development, and primary sources our Education Updates Blog?
	Select:	Yes	No
====== ID#AAAALlWS-9E (2021-03-01 20:41:01) update language, instead of distance learning programs, added education programs -Kathleen Munn Would you like to receive emails about upcoming education programs?
	Select:	Yes	No
K-12 DISTANCE LEARNING PROGRAMS (LO including A1 and New York)
Teacher Name
	Fill in the blank
Title
	Fill in the blank
Phone Number
	Fill in the blank
====== ID#AAAALlWS-8A (2021-03-01 20:41:01) Add email address -Kathleen Munn Email Address
	Fill in the blank
====== ID#AAAALlWS-8Y (2021-03-01 20:41:01) Updated language -Kathleen Munn School Name
	Fill in the blank
Address 1
	Fill in the blank
Address 2
	Fill in the blank
City
	Fill in the blank
State
	Fill in the blank
Zip
	Fill in the blank
====== ID#AAAALlWS-9U (2021-03-01 20:41:01) Reorganized by program grade level and new program options added -Kathleen Munn Select an Elementary School Distance Learning Program
	(K-2) Our Classroom Bill of Rights
	(K-2) What Happens in Washington?
	(3-5) The Charters of Freedom: Building a More Perfect Union
	(3-5) Superhero Bill of Rights
	(3-5) Rightfully Hers: American Women and the Vote
	(4-5) The Constitution at Work: Elementary School Edition
Select a Middle School Distance Learning Program
	(6-8) The Charters of Freedom: Building a More Perfect Union
	(6-8) Decoding the Declaration
	(6-8) The Constitution at Work: Middle School Edition
	(6-8) The Bill of Rights in Real Life
	(6-8) Rightfully Hers: American Women and the Vote
Select a High School Distance Learning Program
	(9-12) The Charters of Freedom: Building a More Perfect Union
	(9-12) Decoding the Declaration
	(9-12) Know Your Rights
	(9-12) Rightfully Hers: American Women and the Vote
Select a Time Zone
	Alaska Standard Time
	Atlantic Standard Time
	Central Standard Time
	Eastern Standard Time
	Hawaiin-Aleutian Standard Time
	Mountain Standard Time
	Pacific Standard Time
Preferred Date 1
	Fill in the blank
Preferred Time 1
	Fill in the blank
Preferred Date 2
	Fill in the blank
Preferred Time 2
	Fill in the blank
Preferred Date 3
	Fill in the blank
Preferred Time 3
	Fill in the blank
====== ID#AAAALlWS-9M (2021-03-01 20:41:01) Updates reflect changes in technology and that many teachers are using their own web conferencing tools -Kathleen Munn Connection Preference
	Select:	I would like the Nation Archives to provide a web conferencing link for the program
		I can provide a web conferencing link for the program
		Unsure
Number of Participants
	Fill in the blank
Number of Students
	Fill in the blank
Grade Level
	Select:	K
		1
		2
		3
		4
		5
		6
		7
		8
		9
		10
		11
		12
Type of Class (U.S. History, Civics, Language Arts, etc.)
	Fill in the blank
Special Accommadations
	Select:	Yes	No
	Space to write in any special accommadations.
Comment or Questions
	Space to write in any comments or questions.
====== ID#AAAALlWS-8w (2021-03-01 20:41:01) Requesting to add this new agreement -Kathleen Munn The National Archives requires that the requesting educator or another educator from your institution be present during the student distance learning program to observe the session and support classroom management. The National Archives cannot fulfill program requests for non-supervised sessions.
I confirm that I have read, understand, and agree to the above statement.
	Select:	Yes	No
Would you like to receive emails about new teaching tools, lesson plans, online activities, field trips, professional development, and primary sources our Education Updates Blog?
	Select:	Yes	No
====== ID#AAAALlWS-8c (2021-03-01 20:41:01) updated language -Kathleen Munn Would you like to receive emails about upcoming education programs?
	Select:	Yes	No
====== ID#AAAALlWS-84 (2021-03-01 20:41:01) We no longer run the Primarily Teaching Program or use this form. -Kathleen Munn PRIMARILY TEACHING
Name
	Fill in the blank
Phone Number
	Fill in the blank
Title
	Fill in the blank
Email Address
	Fill in the blank
Education Institution/Organization Name
	Fill in the blank
Home Mailing Address 1
	Fill in the blank
Home Mailing Address 2
	Fill in the blank
City
	Fill in the blank
State
	Fill in the blank
Zip
	Fill in the blank
School Name
	Fill in the blank
School City
	Fill in the blank
School State
	Fill in the blank
School Zip
	Fill in the blank
Research Interest
Select a NARA Location (Dates of Primarily Teaching will be dictated by respective location.)
	Select from drop down options.
Research Interest (Your topic of independent research must use original records among the holdings of the National Archives. Keeping the guidelines from the workshop overview in mind, identify and independent research topic of interest to you. Be as specific as possible. You may choose to continue independent research on the case study.
	Space to write in research interest.
Primarily Teaching Application Agreement
I have read and agree to the Primarily Teaching Application.
	Select:	Yes	No
Would you like to receive emails about new teaching tools, lesson plans, online activities, field trips, professional development, and primary sources our Education Updates Blog?
	Select:	Yes	No
Would you like to receive emails about upcoming distance learning programs?
	Select:	Yes	No
LEARNING LAB REGISTRATION (ARCHIVES 1)
Teacher's Name
	Fill in the blank
Title
	Fill in the blank
Email
	Fill in the blank
Phone Number
	Fill in the blank
Cell Phone Number (Required for Day of Visit)
	Fill in the blank
====== ID#AAAALlWS-88 (2021-03-01 20:41:01) Delete question -Kathleen Munn Fax Number
	Fill in the blank
School Name
	Fill in the blank
Address 1
	Fill in the blank
Address 2
	Fill in the blank
City
	Fill in the blank
State
	Fill in the blank
Zip
	Fill in the blank
Preferred Date 1
	Fill in the blank
Select a Program Time and Time 1
	Select:	====== ID#AAAALlWS-74 (2021-03-01 20:41:01) Add The Charters of Freedom and new Constitution Lab, delete all other program entries -Kathleen Munn The Charters of Freedom: Building a More Perfect Union
		The Constitution Lab: Explore how the actions of the Federal Government are based on the Constitution (Grades 6-12)
	Select:	Constitution in Action Lab-One Session 10:00 a.m.-12:00 p.m.
		Constitution in Action Lab-One Session 12:30 p.m.-2:30 p.m.
		Constitution in Action Lab-Two Sessions (in rotation from 9:50 a.m. to 2:30 p.m.)
		The Civil War: Celebrate or Commemorate?-One Session 11:00 a.m.-12:00 p.m.
		The Civil War: Celebrate or Commemorate?-One Session 12:30 p.m.-1:30 p.m.
		The Civil War: Celebrate or Commemorate?-One Session 2:00 p.m.-3:00 p.m.
		The Civil War: Celebrate or Commemorate?-Two Sessions (in rotation from 10:50 a.m. to 1:30 p.m.)
		The Civil War: Celebrate or Commemorate?-Two Sessions (in rotation from 12:20 p.m. to 3:00 p.m.)
		The Civil War: Celebrate or Commemorate?-Two Sessions (in rotation from 10:50 a.m. to 3:00 p.m.)
		Rights and Responsibilities-One Session 11:00 a.m. -12:00 p.m.
		Rights and Responsibilities-One Session 12:30 p.m. -1:30 p.m.
		Rights and Responsibilities-One Session 2:00 p.m. -3:00 p.m.
		Rights and Responsibilities-Two Sessions (in rotation from 10:50 a.m. to 1:30 p.m.)
		Rights and Responsibilities-Two Sessions (in rotation from 12:20 p.m. to 3:00 p.m.)
		Rights and Responsibilities-Two Sessions (in rotation from 10:50 a.m. to 3:00 p.m.)
Preferred Date 2
	Fill in the blank
Select a Program Time and Time 2
	See options to select from under: Select a Program Time and Time 1
Preferred Date 3
	Fill in the blank
Select a Program Time and Time 3
	See options to select from under: Select a Program Time and Time 1
Number of Students
	Fill in the blank
Number of Teachers And Other Chaperones (We ask that there be 1 chaperone for every 10 students)
	Fill in the blank
====== ID#AAAALlWS-80 (2021-03-01 20:41:01) combine with previous question, delete this question -Kathleen Munn Number of Other Chaperones (We ask that there be one chaperone for every 10 students.)
	Fill in the blank
====== ID#AAAALlWS-8s (2021-03-01 20:41:01) Delete this question -Kathleen Munn Total Number of Attendees
	Fill in the blank
Grade Level (Programs are available for grades K-12)
	Select:	====== ID#AAAALlWS-9A (2021-03-01 20:41:01) Delete K-2 -Kathleen Munn K
		1
		2
		3
		4
		5
		6
		7
		8
		9
		10
		11
		12
Type of Class (U.S. History, Civics, Language Arts, etc.)
	Fill in the blank
Special Needs Accommodations
	Select:	Yes	No
	Space to write in any special accommadations.
====== ID#AAAALlWS-9Y (2021-03-01 20:41:01) Delete applicate agreement question -Kathleen Munn Applicant Agreement
	Check:
	I have read and agree to the terms of the Pre-Visit Preparation and Requirements, and my students will be prepared for their visit. I understand I may bring no more than 36 students per lab session.
	Visits to the Rotunda and other exhibition areas are not part of the lab experience. I must allow more time if I want my students to visit these spaces.
====== ID#AAAALlWS-8I (2021-03-01 20:41:01) Add field for comments and questions -Kathleen Munn Enter your comments or questions here
	space to write in comments or questions
Would you like to receive emails about new teaching tools, lesson plans, online activities, field trips, professional development, and primary sources our Education Updates Blog?
	Select:	Yes	No
====== ID#AAAALlWS-8k (2021-03-01 20:41:01) updated language -Kathleen Munn Would you like to receive emails about upcoming education programs at the National Archives?
	Select:	Yes	No
====== ID#AAAALlWS-9Q (2021-03-01 20:41:01) The questions for the new Pajama Party Form -Kathleen Munn NATIONAL ARCHIVES PAJAMA PARTY (LO)
Parent/Guardian Last Name
	Fill in the blank
Paren/Guardian First Name
	Fill in the Blank
Preferred email address
	Fill in the blank
Last name of the child you are registering
	Fill in the blank
First name of the child you are registering
	Fill in the blank
If you are registering additional children, please enter their names here.
	Fill in the blank
City
	Fill in the blank
State
	Fill in the blank
Zip Code
	Fill in the blank
Is this the first time your family has participated in a National Archives education program? *
	Select:	Yes	No	Not sure
How did you find out about this program? Please check all that apply.
	Select:	E-mail from the National Archives or the National Archives Foundation
		National Archives Social Media (Facebook, Instagram, Twitter)
		Other Social Media
		Through a friend/family member
		Other
Would you like to receive emails about upcoming National Archives education programs? *
	Select:	Yes	No	Not sure
GROUP TOUR AND FIELD TRIP RESERVATIONS (LBJ)
	Group Type
Are you a:
	Select:	Pre-K-12 Group
		College/University Group
		General Group
	[Pre-K-12] Tell Us About Your Visit
		Name of School or Group
			Fill in the blank
		Name of Tour Company (if applicable)
			Fill in the blank
		Preferred Visit Date
			Fill in the blank
		Alternative Visit Date
			Fill in the blank
		If you are planning to visit over the course of multiple days, please indicate below. Number of Students (15 minimum, 60 maximum)
			Fill in the blank
		Grade Level(s)
			Fill in the blank
		Ages of Students
			Fill in the blank
		Number of School Staff. Please include bus driver(s) and/or coordinator.
			Fill in the blank
		Number of Other Adult Chaperones
			Fill in the blank
		How would you like to spend your time at the library? (?) Our immersive classroom experiences take place in the Lady Bird Education Center, located on the second floor of the LBJ Library. Each experience is hands-on giving students the opportunity to work with our primary resources from our archives or with artifacts from our museum collection.
			Guided tour, no immersive classroom experience
				Preferred Start Time
					Select:	9:30 a.m.
						11:30 a.m.
						1:30 p.m.
						2:30 p.m.
				Alternative Start Time
					Fill in the blank
				Preferred Length of Tour (Min. time: 60 minutes, Typical tour is 90 minutes)
					Fill in the blank
			Guided tour with immersive classroom experience
				Preferred Start Time
					Select:	9:30 a.m.
						11:30 a.m.
						1:30 p.m.
				Which immersive classroom experience would you like to participate in? A tour is included with each experience.Note(s): 1) The tour portion of your visit is self-guided. The classroom experience is facilitated and led by an LBJ Library Education Specialist. 2) Please visit our Education page to learn more about each of our experiences.
					Dropdown:	The Spy's Dilemma/LBJ and the Cold War Program and Tour (2.5-3 hours)
						Vietnam: A Presidential Decision Program and Tour (3-4 hours) A
						Civil Rights Investigation: Mississippi Burning Program and Tour (1-1.5 hours)
						A Matter of Civil Rights Program and Tour (2 hours)
						Great Society Program and Tour (2-3 hours) Election Collection Program and Tour (2-2.5 hours)
						Election Collection Program and Tour (2-2.5 hours)
			Self-guided tour, no immersive classroom experience
				Preferred Start Time Please select a time between 9:30 a.m.-3:30 p.m.
					Fill in the blank
				Alternative Start Time
					Fill in the blank
				Preferred Length of Tour (Min. time: 60 minutes, Typical tour is 90 minutes)
					Fill in the blank
			Self-guided tour with immersive classroom experience
				Preferred Start Time Please select a time between 9:30 a.m.-3:30 p.m.
					Fill in the blank
				Which immersive classroom experience would you like to participate in? A tour is included with each experience. Please visit our Education page to learn more about each of our experiences. Self-guided tour with immersive classroom experience
					Dropdown:	The Spy's Dilemma/LBJ and the Cold War Program and Tour (2.5-3 hours)
						Vietnam: A Presidential Decision Program and Tour (3-4 hours) A
						Civil Rights Investigation: Mississippi Burning Program and Tour (1-1.5 hours)
						A Matter of Civil Rights Program and Tour (2 hours)
						Great Society Program and Tour (2-3 hours) Election Collection Program and Tour (2-2.5 hours)
						Election Collection Program and Tour (2-2.5 hours)
	College/University Group
		Name of School or Group
			Fill in the blank
		Name of Tour Company (if applicable)
			Fill in the blank
		Preferred Visit Date
			Fill in the blank
		Alternative Visit Date
			Fill in the blank
		If you are planning to visit over the course of multiple days, please indicate below.
			Fill in the blank
		Number of Students (60 maximum)
			Fill in the blank
		Number of faculty/staff and bus driver(s)
			Fill in the blank
		How would you like to spend your time at the library?
			Immersive classroom experience only, no tour
				Which immersive classroom experience would you like to participate in?Please visit our Education page to learn more about each of our experiences.
					Dropdown:	Vietnam: A Presidential Decision Program and Tour (3-4 hours) A
						Civil Rights Investigation: Mississippi Burning Program and Tour (1-1.5 hours)
						A Matter of Civil Rights Program and Tour (2 hours)
						Great Society Program and Tour (2-3 hours) Election Collection Program and Tour (2-2.5 hours)
						Introduction to Holdings and Tour (2 - 3 hours)
			Guided tour, no immersive classroom experience
				Preferred Tour Start Time
					Select:	9:30 a.m.
						11:30 a.m.
						1:30 p.m.
						2:30 p.m.
				Alternative Start Time
					Fill in the blank
				Preferred Length of Tour (typical tour is 90 minutes)
					Fill in the blank
			Guided tour, with immersive classroom experience
				Preferred Tour Start Time
					Select:	9:30 a.m.
						11:30 a.m.
						1:30 p.m.
				Which immersive classroom experience would you like to participate in?Please visit our Education page to learn more about each of our experiences.
					Dropdown:	Vietnam: A Presidential Decision Program and Tour (3-4 hours) A
						Civil Rights Investigation: Mississippi Burning Program and Tour (1-1.5 hours)
						A Matter of Civil Rights Program and Tour (2 hours)
						Great Society Program and Tour (2-3 hours) Election Collection Program and Tour (2-2.5 hours)
						Introduction to Holdings and Tour (2 - 3 hours)
			Self-guided tour, no immersive classroom experience
				Preferred Start Time Please select a time between 9:30 a.m.-3 p.m.
					Fill in the blank
				Alternative Start Time
					Fill in the blank
				Preferred Length of Tour (typical tour is 90 minutes)
					Fill in the blank
			Self-guided tour with immersive classroom experience
				Preferred Start Time Please select a time between 9:30 a.m.-3 p.m.
					Fill in the blank
				Which immersive classroom experience would you like to participate in? A tour is included with each experience.Note(s): 1) The tour portion of your visit is self-guided. The classroom experience is facilitated and led by an LBJ Library Education Specialist. 2) Please visit our Education page to learn more about each of our experiences.
					Dropdown:	Vietnam: A Presidential Decision Program and Tour (3-4 hours) A
						Civil Rights Investigation: Mississippi Burning Program and Tour (1-1.5 hours)
						A Matter of Civil Rights Program and Tour (2 hours)
						Great Society Program and Tour (2-3 hours) Election Collection Program and Tour (2-2.5 hours)
						Introduction to Holdings and Tour (2 - 3 hours)
	General Group or Contact Information
		Name of Group
			Fill in the blank
		Name of Tour Company (if applicable)
			Fill in the blank
		Preferred Visit Date
			Fill in the blank
		Alternative Visit Date
			Fill in the blank
		If you are planning to visit over the course of multiple days, please indicate below.
			Fill in the blank
		Friendly reminder: We do not offer guided tours for non-school groups. For more information, please contact the Volunteer and Visitor Services Office at (512) 721-0184.
		What is your preferred start time?Self-guided tours are available between 9:30 a.m.-3:30 p.m.
			Fill in the blank
	Alternative Start Time We ask for an alternative arrival time in case many self-guided tours are booked on the day of your visit. We want to ensure your group is accommodated and that your visit is pleasant.
			Fill in the blank
		Preferred Length of Tour (Min. time: 60 minutes, Typical tour is 90 minutes)
			Fill in the blank
	Tell us about your group.
	This will help us efficiently check you in on your day of visit.
		Number of Tour Director(s) or Group Leader(s) and Bus Driver(s) (Free admission)
			Fill in the blank
		Number of Adults (Admission $7)
			Fill in the blank
		Number of Seniors (Admission $5)
			Fill in the blank
		Number of Youth (13-17) (Admission $3)
			Fill in the blank
		Number of Children (12 and under) (Free admission)
			Fill in the blank
		Number of Non-UT Austin College/University Students (Admission $3)
			Fill in the blank
		Number of UT Austin Students, Staff, and Faculty (Free admission)
			Fill in the blank
		Number of Active Duty Military (Free admission)
			Fill in the blank
		Number of Former Military (Admission $5)
			Fill in the blank
		Number of LBJ Library Members and Other NARA Presidential Library Members (Free admission)
			Fill in the blank
		Main Contact First Name
			Fill in the blank
		Main Contact Last Name
			Fill in the blank
		Main Contact Person Title:
			Fill in the blank
		Email Address
			Fill in the blank
		Phone Number (Direct line or cell phone preferred)
			(XXX) XXX-XXXX
		Street Address
			Fill in the blank
		Address Line 2
			Fill in the blank
		City
			Fill in the blank
		State
			Drop down list of every U.S. state
		Zip Code
			Fill in the blank
		On the day of your visit, will there be a different point of contact?
			Select:	Yes	No
		Day-of Contact First Name:
			Fill in the blank
		Day-of Contact Last Name: Day-of Contact Email Address
			Fill in the blank
		Day-of Contact Phone Number (Cell phone preferred)
			Fill in the blank
	Additional Information
		Additional CommentsInclude any specific day-of needs, ADA accommodations, or more
			Fill in the blank
		If you have been in touch with a specific LBJ Library contact, please include their name below:
			Fill in the blank
		Would your group like to visit our museum store—The Store at LBJ?
			Select:	Yes	No
LIBRARY QUESTIONS (Kennedy)
Have you ever visited the museum?
	Fill in the blank
Have you brought students for a guided program? (Which one?)
	Fill in the blank
How did you learn about this program?
	Fill in the blank
Will you (briefly) indicate how the visit relates to your school curriculum?
	Fill in the blank
Confirm number participants and chaperones:
	Fill in the blank:	Pre-K _____
		K - 2nd _____
		3rd - 5th grade _____
		6th - 8th grade _____
		9th grade _____
		10th grade _____
		11th grade _____
		12th grade _____
		Undergraduate _____
		Graduate _____
		Educator _____
		Chaperone _____
		Parent _____
		Adult _____
		Participants _____
We are happy to work with you to provide reasonable accommodations for students. Please let us know how we can support you.
	Fill in the blank

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Sheet 2: Sleepover Information Collectio

Minor’s Name

Minor's Age

Name

Date

Parent or Legal Guardian Name Printed

Parent or Legal Gurdain Signature

Parent of Legal Guardian DOB

Address

Phone

Cell

City

State

Zip