Virtual Field Trip Request Form

Virtual Field Trip Request Form — Form Fields

This education template includes 12 fields. Teachers request virtual field trip experiences connecting students with museums, science centers, or professionals. Free to customize and use on ZenBuild.

• Teacher Name (text, required)
• School Email (email, required)
• School Name (text, required)
• Grade Level (text, required)
• Subject or Unit (text, required)
• Preferred Virtual Experience Type (dropdown selection, required) — options: Museum Tour, Science Lab, Career Professional Interview, National Park, Historical Site, Other
• Curriculum Connection (text, required)
• Number of Students (number, required)
• Preferred Date (text, required)
• Backup Date (text, required)
• Technology Available (dropdown selection, required) — options: Smartboard, Projector + Laptop, Chromebooks, iPads, No Dedicated Screen
• Learning goals for the experience (long text, optional)