Back / Form Home / For Educators / Schedule a Student Program / Form Request a Student Program This field is hidden when viewing the formPre-selected form: Museum Visit Classroom Outreach Museum Visit DetailsClassroom Outreach Details Preferred Dates Choose up to three preferred dates. If you require additional assistance planning for your group contact us at education@eastTNhistory.org or (865) 215-8875 Preferred Dates Choose up to three preferred dates. We will contact you to determine specific times that work for you school. If you require additional assistance planning for your group contact us at education@eastTNhistory.org or (865) 215-8875Date SelectionOption 1 MM slash DD slash YYYY Option 2 MM slash DD slash YYYY Option 3 MM slash DD slash YYYY Students Admission is $3.00/students and chaperones; students with Free and Reduced Lunch admitted free.StudentsNumber of ChaperonesRecommended 1 adult per 10 studentsGradeStudent Grade LevelGrade 1Grade 2Grade 3Grade 4Grade 5Grades 6-8Grades 9-12KindergartenFree or Reduced LunchStudentsGradeStudent Grade LevelGrade 1Grade 2Grade 3Grade 4Grade 5Grades 6-8Grades 9-12KindergartenFree or Reduced LunchProgram Selection All visits will include the gallery program by default. You may select ONE additional program for your students to experience. Please indicate your preference by ranking the programs below.Program Selection See Program DetailsFirst Choice— select a Student Program —Discovery BoxesHuzzah!Objects Over TimeSecond Choice— select a Student Program —Discovery BoxesHuzzah!Objects Over TimeMuseum Shop VisitVisit The Museum Shop? Yes No Adds 30 minutes to end of visitNumber of SessionsHow many 45 minute sessions? Limit 30 students per session.One 45 minute sessionTwo 45 minute sessionsThree 45 minute sessionsFour 45 minute sessions Teachder Details Teacher InformationFirst NameLast NamePhone NumberEmail Address Have you scheduled a program with ETHS before? Yes No School InformationSchool NameSchool Phone NumberAddress Line 1Address Line 2CityPostal CodeStateStateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificCountyIs your school supported by Title I? Yes No Anything else we should know? Additional comments or questions? Please reach out to us at (865) 215-8875, or leave us a comment below and we will follow up with you after your form is submitted.Anything else we should know?
