BioBus Visit Coordination Form

SCHEDULE:

Please see below for our scheduling capacity requirements:

We can accommodate up to six 45-minute sessions in a school day
No more than four consecutive sessions without a minimum 45-minute lunch break for our staff
At least 5 minutes between sessions for clean-up
Up to 30 students per session

CONTENT: Have a look at our theme options at biobus.org/discover/#menu. Please use the form to let us know which theme would be most appropriate for each class.

General Info

School or organization name

Program date

How many sessions are you scheduling on this date?

Will this program be in-person or online?

Program Contact

Please enter below the contact information of someone who can be our point person for this program with regards to scheduling and content. A copy of all the information entered in this form will be sent to their email.

First Name

Last Name

Email Address

Phone Number

Role at school / organization

Your name (if different from Program Contact above)

Logistics Info

Where do you want the program to take place?

Mobile Lab - The full program takes place aboard the BioBus mobile lab, parked at your school or other designated location.Pop-Up Lab - We set up our microscope stations at a designated spot at your school, such as the schoolyard, gym, auditorium, or a large classroom.Mobile / Pop-Up Hybrid - Requires parking space in a lot or schoolyard that allows us to set up some microscope stations directly outside the mobile lab.

In order to park our mobile lab, we need a level, paved space 65 feet long (4-5 car lengths) and 10 feet wide with a height clearance of 11 feet and able to support a vehicle weighing 13 tons (25,000 lbs). Please note that while we do our best to accommodate your needs for this program, it is your responsibility to ensure that an appropriate parking spot is available. Please describe below where you'd like us to park (including address or coordinates) and how you will reserve this space.

Where do you want the pop-up lab to be set up? If you prefer an outdoor setup, please also provide an indoor location for backup in case of adverse weather (light rain is fine; extreme temperatures, wind, or lightning storms are not).

We love using our battery-powered microscope carts for BioBus pop-up lab programs when possible, but they are quite heavy (about 150 lbs), so they need to be wheeled around. Are your proposed program locations wheelchair-accessible? If not, we'll set up our equipment on tables instead of bringing the carts.

Yes, all clear, wheel away!There is a short step or two, but it might be manageable.No, it would be best to set up on tables.I don't know.

Any other notes on logistics?

Logistics Contact

Please enter below the name and contact information of a teacher or school/organization staff member that will be attending this session.

(if different from Program Contact)

Name

Role at school/org

Contact email address

Contact phone number

Session #1 Info

Session start time

Session end time

Approximate number of students expected to attend the session

Grade level

Which grades?

Number of students

Theme choice (Please make sure to select grade level first) -- see biobus.org/discover/#menu for topic descriptions

Student Needs

English Language Learners?

Are there any students in this class who are not currently at a level of English proficiency to follow a science class in English?

How many students? What is/are their home language(s)? Will you have a translator or interpreter in class to assist these student(s)?

Special needs?

How many students use a wheelchair?

Please specify any special needs that we can try to accommodate

Technical Info

Which platform would you like to use for this session?

Zoom link created by BioBus (preferred)Zoom link created by school/teacherGoogle Meet link created by BioBusGoogle Meet link created by school/teacherMeeting link created by school/teacher on a different platform (not guaranteed)

Will you be able to make BioBus staff host or co-host of the meeting? If not, we will ask that the host of the meeting takes care of the moderation responsibilities.

Yes, we can make BioBus staff host or co-host.No, we cannot make BioBus staff host or co-host. We will handle tech moderation (allowing people in, spotlighting as needed, muting when needed, etc.)I don't know.

Where will the students physically be during this session?

All students will be joining individually from home or another remote location.All students will be in a classroom setting, physically together with other students attending the session (even if on individual devices).There will be a mix of students joining from the classroom and remote locations.I don't know.

Is it just one classroom or are there multiple classrooms where groups of participants will be in?

Approximately how many students will be in a classroom setting with other participants?

Which of the following describes best the meeting accessibility of students that will be in the classroom together?

Students will use individual devices with headphones. -- RECOMMENDED -- To prevent audio feedback, all devices in the classroom will be kept muted, but students can take turns to unmute and speak. Headphones with built-in microphones are useful, but not necessary.Students will use individual devices without headphones. -- NOT RECOMMENDED -- To prevent audio feedback, only one device in the classroom will be used for all audio communication. All other devices in the classroom must be kept muted (both audio and mic) for the duration of the session.There will be only one device in the classroom connected to the meeting. All audio/visual/text interactions will be done through this device. -- NOT RECOMMENDED -- BioBus classes thrive on student voice, and this setup highly restricts individual voices to be heard, whether it's actual talking, typing in chat, or using physical gestures. Please only select this option if providing each student a device to join the meeting will not be possible.Other

If "Other", please explain.

Contact Info

Please enter below the name and contact information of a teacher or school/organization staff member that will be attending this session.

(if different from Program Contact)

Contact name

Contact role at school/org

Contact email address

Contact phone number

Session #2 Info

Session start time

Session end time

Approximate number of students expected to attend the session

Grade level

Which grades?

Number of students

Theme choice (Please make sure to select grade level first) -- see biobus.org/discover/#menu for topic descriptions

Student Needs

English Language Learners?

Are there any students in this class who are not currently at a level of English proficiency to follow a science class in English?

How many students? What is/are their home language(s)? Will you have a translator or interpreter in class to assist these student(s)?

Special needs?

How many students use a wheelchair?

Please specify any special needs that we can try to accommodate

Technical Info

Which platform would you like to use for this session?

Will you be able to make BioBus staff host or co-host of the meeting? If not, we will ask that the host of the meeting takes care of the moderation responsibilities.

Where will the students physically be during this session?

Is it just one classroom or are there multiple classrooms where groups of participants will be in?

Approximately how many students will be in a classroom setting with other participants?

Which of the following describes best the meeting accessibility of students that will be in the classroom together?

If "Other", please explain.

Contact Info

Please enter below the name and contact information of a teacher or school/organization staff member that will be attending this session.

(if different from previous session)

Contact name

Contact role at school/org

Contact email address

Contact phone number

Session #3 Info

Session start time

Session end time

Approximate number of students expected to attend the session

Grade level

Which grades?

Number of students

Theme choice (Please make sure to select grade level first) -- see biobus.org/discover/#menu for topic descriptions

Student Needs

English Language Learners?

Are there any students in this class who are not currently at a level of English proficiency to follow a science class in English?

How many students? What is/are their home language(s)? Will you have a translator or interpreter in class to assist these student(s)?

Special needs?

How many students use a wheelchair?

Please specify any special needs that we can try to accommodate

Technical Info

Which platform would you like to use for this session?

Will you be able to make BioBus staff host or co-host of the meeting? If not, we will ask that the host of the meeting takes care of the moderation responsibilities.

Where will the students physically be during this session?

Is it just one classroom or are there multiple classrooms where groups of participants will be in?

Approximately how many students will be in a classroom setting with other participants?

Which of the following describes best the meeting accessibility of students that will be in the classroom together?

If "Other", please explain.

Contact Info

Please enter below the name and contact information of a teacher or school/organization staff member that will be attending this session.

(if different from previous session)

Contact name

Contact role at school/org

Contact email address

Contact phone number

Session #4 Info

Session start time

Session end time

Approximate number of students expected to attend the session

Grade level

Which grades?

Number of students

Theme choice (Please make sure to select grade level first) -- see biobus.org/discover/#menu for topic descriptions

Student Needs

English Language Learners?

Are there any students in this class who are not currently at a level of English proficiency to follow a science class in English?

How many students? What is/are their home language(s)? Will you have a translator or interpreter in class to assist these student(s)?

Special needs?

How many students use a wheelchair?

Please specify any special needs that we can try to accommodate

Technical Info

Which platform would you like to use for this session?

Will you be able to make BioBus staff host or co-host of the meeting? If not, we will ask that the host of the meeting takes care of the moderation responsibilities.

Where will the students physically be during this session?

Is it just one classroom or are there multiple classrooms where groups of participants will be in?

Approximately how many students will be in a classroom setting with other participants?

Which of the following describes best the meeting accessibility of students that will be in the classroom together?

If "Other", please explain.

Contact Info

Please enter below the name and contact information of a teacher or school/organization staff member that will be attending this session.

(if different from previous session)

Contact name

Contact role at school/org

Contact email address

Contact phone number

Session #5 Info

Session start time

Session end time

Approximate number of students expected to attend the session

Grade level

Which grades?

Number of students

Theme choice (Please make sure to select grade level first) -- see biobus.org/discover/#menu for topic descriptions

Student Needs

English Language Learners?

Are there any students in this class who are not currently at a level of English proficiency to follow a science class in English?

How many students? What is/are their home language(s)? Will you have a translator or interpreter in class to assist these student(s)?

Special needs?

How many students use a wheelchair?

Please specify any special needs that we can try to accommodate

Technical Info

Which platform would you like to use for this session?

Will you be able to make BioBus staff host or co-host of the meeting? If not, we will ask that the host of the meeting takes care of the moderation responsibilities.

Where will the students physically be during this session?

Is it just one classroom or are there multiple classrooms where groups of participants will be in?

Approximately how many students will be in a classroom setting with other participants?

Which of the following describes best the meeting accessibility of students that will be in the classroom together?

If "Other", please explain.

Contact Info

Please enter below the name and contact information of a teacher or school/organization staff member that will be attending this session.

(if different from previous session)

Contact name

Contact role at school/org

Contact email address

Contact phone number

Session #6 Info

Session start time

Session end time

Approximate number of students expected to attend the session

Grade level

Which grades?

Number of students

Theme choice (Please make sure to select grade level first) -- see biobus.org/discover/#menu for topic descriptions

Student Needs

English Language Learners?

Are there any students in this class who are not currently at a level of English proficiency to follow a science class in English?

How many students? What is/are their home language(s)? Will you have a translator or interpreter in class to assist these student(s)?

Special needs?

How many students use a wheelchair?

Please specify any special needs that we can try to accommodate

Technical Info

Which platform would you like to use for this session?

Will you be able to make BioBus staff host or co-host of the meeting? If not, we will ask that the host of the meeting takes care of the moderation responsibilities.

Where will the students physically be during this session?

Is it just one classroom or are there multiple classrooms where groups of participants will be in?

Approximately how many students will be in a classroom setting with other participants?

Which of the following describes best the meeting accessibility of students that will be in the classroom together?

If "Other", please explain.

Contact Info

Please enter below the name and contact information of a teacher or school/organization staff member that will be attending this session.

(if different from previous session)

Contact name

Contact role at school/org

Contact email address

Contact phone number

COVID Precautions

Please know that we take the health and safety of our communities very seriously at BioBus. Our scientists that run in-person programs are all vaccinated against COVID, get tested regularly, and are required to wear a mask during student programs. They may also ask students and other attendees to wear a mask, and will provide masks if needed.

I read the paragraph above and understand that students and other attendees may be asked to wear a mask during BioBus program.

Communications & Sharing

BioBus may share photos of this visit across BioBus social channels, promotional materials, or other various communications. Please tell us more about your school or organization's Photo/Media Release Policy in regards to the students attending today's program and a member of our team will follow up if needed (faces will not be shown if students do not have photo/media releases)

All of the students have signed photo/media releases with the school/districtSome of the students have signed photo/media releases with the school/districtNone of the students have signed photo/media releases with the school/district

I don't know if the students have signed photo releases with the school/district

We'd love to tag you! Are there any social handles BioBus should use?
i.e. @biobus, #biobus, @PS888, #PS888wildcats, etc.

Any additional questions/concerns/comments?

Program ID

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