FIELD TRIP APPLICATION FOR K-8 SCHOOLS

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FIELD TRIP APPLICATION FOR K-8 SCHOOLS

MUSEUM EDUCATION PROGRAM OVERVIEW:

Thank you for your interest regarding a field trip opportunity with the 49ers Museum. The 49ers Museum, presented by is a two-level, 20,000 square foot space dedicated to showcasing the past, present, and future of the 49ers organization and its commitment to education and innovation. We are very proud of the educational program we have created.

49ERS MUSEUM EDUCATION PROGRAM:

Our Museum experience provides learning platforms that connect, inspire and engage students in grades K-8 through relevant content, interactive explorations, group/peer collaboration, application of skills learned and student reflection. Specifically, the 49ers Museum Education Program will use football as a platform for:

 Teaching content-rich lessons in STEM (Science, Technology, Engineering, and Mathematics) where students engage in finding real solutions to real-world problems

 Ingraining invaluable life skills

 Encouraging physical activity COST & APPLICATION:

All field trip offerings are at no cost to K-8 schools interested in attending. With such an amazing opportunity, one can imagine the vast amount of interest we receive from schools. Because of high demand, we have limited slots available for the 2015/16 school year and have initiated an application process that enables us to manage field trip requests in a manner that effectively directs volume and ensures the quality/integrity of the learning experience.

THE 49ERS MUSEUM EDUCATION PROGRAM CURRICULUM:

 Is aligned to National & California Common Core and Next Generation Science Standards

 Engages students in a variety of technologically-rich learning experiences that are student-centered and can be adapted to various development levels and learning audiences

 Integrates STEM learning through project-based activities that transfer student knowledge and skills to real-world problems

 Is aligned to 21st Century Learning Skills (critical thinking, problem-solving, communication, collaboration & creativity) and focuses on pertinent life skills

 Increases student motivation for learning and enhances student understanding of STEM concepts Your field trip experience includes

 Customizable Curriculum Options: Educators will choose from an array of engaging lesson options; each of which is aligned to standards and sure to capture the imagination of students

 Grades K-3/7-8 Education Programs

 Grades 4-6 Education Program

 Levis® Stadium Tour: Students will tour and learn about how the stadium is a showcase for technology innovation and environmental sustainability

 Guided Museum exploration: Students will experience the 49ers history—and the game of football—through an interactive experience built on innovative technology

 Movement Lab: In alignment with the NFL PLAY 60 campaign to encourage kids to be active for 60 minutes a day in order to help reverse the trend of childhood obesity, we are providing a kinesthetic movement lab to support physical activity and to get students excited about exercising

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FIELD TRIP APPLICATION GUIDELINES: To qualify for a field trip, your school must:

1. Serve students in the K-8 grades in California. We highly encourage schools located in the greater Bay Area to apply. 2. Submit the 49ers Museum Field Trip Application.

3. After being accepted to attend a field trip, complete a 49ers Museum consent form for each student/chaperone participating. The consent form will be sent four weeks prior to your visit.

4. Complete an onsite program survey: Our program takes great pride in critically evaluating performance and collects data through teacher surveys for our field trip program. As outcome measurements are vital to this program, we would appreciate schools taking the time to complete onsite surveys of their field trip experience. We provide teachers the opportunity to provide video testimonials as well to support program growth and improvement.

Please note that field trip experiences are limited. Field trip availability is not guaranteed. Please submit your field trip application at least six weeks prior to your anticipated visit.

FIELD TRIP APPLICATION PROCESS:

1. To request consideration, apply online or download the Field Trip Application at: levisstadium.com/schools 2. If not completed online, once we receive your field trip inquiry we will send the 49ers Museum Field Trip

Application and education program options electronically

3. When the application is completed, schools may submit it via fax, scan/email, or traditional mail to the 49ers Museum. Please send materials to:

49ers Museum Presented by SONY 4900 Marie P. DeBartolo Way Santa Clara, CA 95054

T 408-673-2048 | M 408-438-7369 Email: [email protected]

4. After schools submit the field trip form, our staff will determine field trip eligibility based on schedule, staffing and program availability.

5. Field trip confirmation information: Field trip applications are reviewed bi-weekly. Please wait at least two-six weeks before checking on visitation status. At that point in time you will receive notification of your field trip status, confirmation of reservation request date, and field trip preparation materials.

Our staff will work diligently to ensure the field trip experience that schools desire meet their individual needs in every way possible and that schools are provided all the information and support necessary to make this a memorable visit. *If your class is not provided an opportunity to visit, you will have a choice of one of the following options:

1. Your class will be placed as “high priority” on our 2015/16 waiting list (in case there are cancellations) 2. Your class can be placed on the 49ers Museum field trip schedule for the following calendar year 3. Your class will be provided other additional options to visit the 49ers Museum and Levi’s® Stadium

Thank you for your interest in the 49ers Museum, we look forward to reviewing your request and

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FIELD TRIP APPLICATION

Please type or print. You must complete this application in its entirety along with required signatures. This form must be completed and submitted to the 49ers Museum at least six weeks prior to your anticipated visit. Please submit one application per grade level.

School Contact Information

Contact Name: Date:

Last First Best Day/Time to Contact: Position: School Name:/Organization Address: Street Address

City State ZIP Code

Preferred phone

# for contact: School Phone:

Fax:___________________________________________ Email: ________________________________________  Please check here if you wish to receive information about upcoming 49ers Museum education department events and programs. The 49ers Museum will not sell or distribute your email or information. Your email will be used only for 49ers Museum updates.

Field Trip Request for the 49ers Museum

Completion of this form and section do not constitute a confirmed reservation. Field trip visits are dependent upon availability and are scheduled on a first-come, first-serve basis.

Requested field trip date #1: _________________________

Day of the Week:  Monday Tuesday  Wednesday Thursday Friday

Type of school:  Elementary  Middle School  Other (Please Specify): ______________

Grade level and/or age(s)

attending: _____________

Type of field trip requested:

 Grades K-3 Program  Grades 4-6 Program  Grades 7-8 Program # of classes attending: ______ # of students attending: ______ # of chaperones/ teachers attending:__________ * Minimum of 20 students required. *Please refer to field trip chaperone-student ratio requirements:

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Grades K-8 Education Programming: Includes Museum Tour/Levis® Stadium Tour/STEM Activity/Movement Lab *To learn more about our program lessons & activities, please refer to the education program guide provided at

http://www.levisstadium.com/wp-content/uploads/2015/03/15-Education-Program-Guide-1.1.pdf.

PLEASE CHOOSE ONE STEM ACTIVITY FOR YOUR FIELD TRIP: Grades K-3 Programs

 Gearing Up for the Game: Design Lab  Football Forces & Movement Lab  Measure up with Math

 Tackling Literacy

Grades 4-6 Programs

 The World of Engineering & Design in Football  Environmental Sustainability of Levis® Stadium

 Goal Line Mathematics

 Technological Advancements in the Game  Health & Nutrition

Grades 7-8 Programs [Lessons can be accommodated to teach for grades 4-6]

 Game-day Forces

 Gridiron Engineering & Design Lab  Game Communications & Technology  Career Connections

Does your school group require any special accommodation? Y N

Any specific program accommodations/modifications/specifications requested (ELL/SDC/Wheelchair needs, etc.): Please explain:

_____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________

Lunches: The 49ers Museum will not provide lunches for visiting schools. We will, however, provide a determined lunch time

within your daily schedule and an accessible lunch area for your convenience.

Bus Transportation Request Please take into consideration all possible funding necessary for your school when determining your field trip request.

Funding and materials provided by the 49ers Museum Education Program for visiting schools:

 Museum admission  STEM activity supplies

 49ers Museum Learning Playbook

 Bus transportation for schools in a 50 mile radius of the stadium (as determined by program availability, location and funding)

Bus Transportation Information: Please request transportation funding only if necessary. If schools do not request

transportation funding for a field trip, such funds will be allocated back into the education program to fund future school visitation opportunities.

Will you need bus transportation? Y N

If bus transportation is not available, would you still be able to participate in a field trip to the 49ers Museum?

Y  N

Expected transportation expense if school district provides = Total: $____________________

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Statement of Need & Consideration Information Are you a Title I school?

 Y  N Are you a government funded program or school?  Y  N Percentage of students in the program that qualify for free or reduced lunch: ______ % N/A

Please briefly explain how will a visit to the 49ers Museum provide educational value to your students’ learning or to your school community’s overall experience:

_________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ The information provided above does not determine overall eligibility to attend a 49ers Museum field trip; it merely provides us a better understanding of the student populations we are serving. However, it is the commitment of the 49ers Museum that a minimum of 50% of the total amount of schools visiting annually:

 Are a designated Title I school

 Have a high percentage of students on free and reduced lunch

 Come from pre-defined areas that have been identified as economically disadvantaged or considered to have a high population of at-risk students

Authorization/Signatures

I have read and understand the 49ers Museum policies and application requirements and verify all information contained in the application and all supporting documents to be true and correct.

Signature: ____________________________________________ Printed Name: _______________________________________ Title: _________________________________________________Date: ______________________________________________ Principal/Director

Signature: ____________________________________________ Printed Name: _______________________________________ Title: ________________________________________________ Date: ______________________________________________ *Please ensure all required documents are attached / enclosed upon submission and return this completed application to:

4900 Marie P. DeBartolo Way Santa Clara, CA 95054 T 408-673-2048 | M 408-438-7369

Email: [email protected]

49ers Museum Approval: For Office Use Only

Received __/__/__ By: ____________

Reply Sent __/__/__ By: _____________

Estimated Transportation Total amount sponsored:

$ ____________

Transportation Approved: _____

 Bus Transportation Needed

 Bus Transportation Not Needed

Program Admission Approved: _____ Date Approved:

_______________ Field Trip Date: _______________