Free Structured School Programs for the 2013-2014 school year run from October 2013-May 2014.
   
Program Dates: October 5, 2013 - May 16, 2014
  * No Structured School Programs November 25-29, December 23- January 3, January 20, February 17 & April 14-18


Please fill out this form carefully and completely.
The lottery will take place September 9-13, 2013.
Teachers selected for a free visit will be notified by email the week of September 16-20, 2013.
All fields with an * are required.

Due September 6, 2013!

contact Information
Teacher Name:*
  
Note: You will be the Aquarium's contact for field trip information.
  Grade Level:*
Teacher E-mail:*
School:*
School Address:*
City:* County:*
State:* Zip:*
School District:* %Free and Reduced Lunch:*
School Phone:* School Fax:
Home/Cell Phone:    

field trip Information
Number of Students you'd like to bring:*
Number of Classes this Represents:*
Number of Teachers:*    
PLEASE NOTE: Programs max out at 60 students per day. If your number exceeds this, you will have to attend multiple days.
How many times have you applied for this program in the past?:*
How many times have you been awarded this program?:*

workshops
Attending a teacher workshop is mandatory for each teacher the first year you win a program.
Please enter information for any teachers that will be participating in this program.
IMPORTANT: All teachers who are applying must complete this section. You may enter information for up to 6 teachers (if there are more than 6 teachers in your group, we will get their information later).
PLEASE NOTE: Workshops are mandatory. If you have already completed a workshop, please indicate that below with the year attended.
TEACHER #1  
Name:*
  

Email:*
Have you ever attended one of the Aquarium's Teacher Workshops?*
If yes, when?  
If no, when would you like to attend?
PLEASE NOTE: We will try to honor your request, but it is not guaranteed. If selected, your workshop date will be indicated on your reservation letter.		  
TEACHER #2  
Name:
  

Email:
Have you ever attended one of the Aquarium's Teacher Workshops?
If yes, when?  
If no, when would you like to attend?
PLEASE NOTE: We will try to honor your request, but it is not guaranteed. If selected, your workshop date will be indicated on your reservation letter.		  
TEACHER #3  
Name:
   

Email:
Have you ever attended one of the Aquarium's Teacher Workshops?
If yes, when?  
If no, when would you like to attend?
PLEASE NOTE: We will try to honor your request, but it is not guaranteed. If selected, your workshop date will be indicated on your reservation letter.		  
TEACHER #4  
Name:
  

Email:
Have you ever attended one of the Aquarium's Teacher Workshops?
If yes, when?  
If no, when would you like to attend?
PLEASE NOTE: We will try to honor your request, but it is not guaranteed. If selected, your workshop date will be indicated on your reservation letter.		  
TEACHER #5  
Name:
  

Email:
Have you ever attended one of the Aquarium's Teacher Workshops?
If yes, when?  
If no, when would you like to attend?
PLEASE NOTE: We will try to honor your request, but it is not guaranteed. If selected, your workshop date will be indicated on your reservation letter.
TEACHER #6  
Name:
  

Email:
Have you ever attended one of the Aquarium's Teacher Workshops?
If yes, when?  
If no, when would you like to attend?
PLEASE NOTE: We will try to honor your request, but it is not guaranteed. If selected, your workshop date will be indicated on your reservation letter.

Aquarium field trip date request
1st Choice: Date:  
2nd Choice: Date:  
3rd Choice: Date:  
Any date is fine: (If you have no specific date requests, Click here.)
PLEASE NOTE: We will try to honor your request, but it is not guaranteed. If selected, your field trip date(s) will be indicated on your reservation letter.
AVAILABILITY  
Please list any dates you are NOT available for your Aquarium trip
(inservice dates, holidays, testing dates, etc.)*
PLEASE NOTE: We serve all schools in South Carolina. Please be sure to complete this form accurately to ensure a date that you are available.

NOTE: Please confirm that the above information is correct and complete before submitted. Any incomplete application will not be considered in the lottery process.
Submit Application