Virtual Primary Source Workshop Reservation Form

Personal Information

First Name *

Last Name *

Phone *

Email *

Name of School/Organization *

Address 1 *

Address 2

City *

State *

Zip Code *

Age/Grade Level *

Number of Participants (3 person minimum) *

Date & Time of Program

Standard program times are Monday to Friday, 9:00 am to 5:00 pm. Evening hours available upon request.

1st Choice Date *

2nd Choice Date *

3rd Choice Date *

Program Start Time 1st Choice *

Program Start Time 2nd Choice

Choose a program length- note – if you click the wrong box, you will have to click it again to deselect. *

45 minutes

60 minutes

90 minutes

Virtual Programs

Use the boxes below to select the program you want. Virtual programs are free of charge. They are hosted on the Maine State Museum’s Zoom platform. Unless otherwise noted, programs are suitable for grades 3-12.

Choose a program:

Maine’s Bicentennial – Creating a Maine Identity (Grades K-12)

Maine’s Bicentennial – Power of Maine’s Vote (Grades 4-12)

Maine’s Bicentennial – Slavery and Maine (6-12)

Maine’s Bicentennial – Statehood and the Wabanaki (Grades 4-12)

Maine Industry (Grades 4-12)

Choose a program:

Freedom & Captivity: Native American Boarding Schools (Grades 4-12)

Freedom & Captivity – History of Incarceration in Maine (Grades 4-12)

Freedom & Captivity: Maine’s WWII Prisoner of War Camps (Grades 4-12)

History of Maine Pandemics (Grades 4-12)

Program Details

How will your class be joining us? Note – if you click the wrong box, you will have to click it again to deselect. *

Each student joins from their own device.

Teacher projects program onto one screen which the whole class follows together.

Teacher projects program onto one screen/students will have access to own devices for some activities

OtherOther

Which format would be the best fit for your class?

Zoom Meetings-video/audio is ON for your classroom. Students will be able to interact as a class directly with museum educators.

OtherOther

Will multiple classrooms be joining this presentation? Please give the names of all teachers who will be logging in to the meeting.

Please use this space to list in detail any special accommodations needed, or other information that will help in planning your visit.

What background will your students have in the selected program’s subject area?

Are there specific themes or ideas you would like to have emphasized?

We encourage the group leader/teacher to join us for a short pre-visit planning Zoom or phone call. This will help us plan the best program format for your class or group. Would you prefer:

Zoom call

Phone call

Neither – email only

After you hit submit, an automated email will be sent letting you know that your reservation request has been received (check your junk folder if you don’t see it). This will be followed up by an email to confirm scheduling. We are looking forward to your virtual visit!

Virtual Primary Source Workshop Reservation Form

Personal Information

Date & Time of Program

Virtual Programs

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