Heard on the Go Sign-up
Full Name:
(Required)
First
Last
Email:
(Required)
Educational Institution:
Phone:
(Required)
School Name:
(Required)
School Address:
(Required)
School District:
(Required)
School Website:
(Required)
Title 1?
(Required)
Yes
No
Grade Levels of Students Reached:
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Number of Students Reached:
(Required)
Preferred Check-out Start Date:
(Required)
Note that "Heard on the Go" is available for a 2-week loan. Ex: Month/Day/Year 01/01/2023
Alternate Check-out Start Date #2:
(Required)
Note that "Heard on the Go" is available for a 2-week loan. Ex: Month/Day/Year 01/01/2023
Alternate Check-out Start Date #3:
(Required)
Note that "Heard on the Go" is available for a 2-week loan. Ex: Month/Day/Year 01/01/2023
Please review the following:
(Required)
By checking this box, I have read and understand all requirements prior to submitting this form.
Heard on the Go cases are rented for a maximum of 2 weeks. Transporting the cases is the responsibility of the partner organization. Please ensure that the Heard on the Go resource is being used strictly for educational purposes. One-time use materials, such as air-dry clay, sticks, plates, etc., are not required to be returned in the case. All other materials must be returned in the cases in their corresponding places.
Teachers are required to fill out a survey prior to returning the cases to the Heard Museum. Any damage or missing pieces should be noted in this survey.