1800 UPPER CANYON ROAD, SANTA FE, NM 87505
AUDUBON NEW MEXICO’S OUTDOOR SCIENCE PROGRAMS: 1st -5th Grade
SANTA FE PUBLIC SCHOOLS SCHOLARSHIP APPLICATIONS: 2015-2016
Dear Teachers:
Audubon New Mexico continues to strive to serve your needs, your students, and the community of Santa Fe. We
hope to work hard with you to support your classroom science curriculum and standards, connect students to nature
and provide a unique, educational outdoor learning experience. We effectively illustrate science concepts through
direct contact with the natural world at the Randall Davey Audubon Center & Sanctuary. With support of the City of
Santa Fe’s Children and Youth Commission we are pleased to be able to offer a number of program and
transportation scholarships for outdoor field science programs at our 135 acre wildlife sanctuary and surrounding
property.
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


If you are a 1st or 5th grade teacher, you may apply for funding, however our main grant is specific to 2nd –
4th grade programming.
The 4th grade will be offered our 4-day, Ecosystem Explorations Field Studies program to better emphasize,
and build on the state standards and support the Northern New Mexico Inquiry Science Education Consortium
program. (Application for the 4th grade program begins on page 8)
If a scholarship is awarded we kindly request a letter after your program to share with funders
detailing why this experience was important for your students and to share some stories to encourage
future funding for classes. If we do not receive a letter by the end of the school year, it will affect your
funding in future years.
Application specifics:
o If you are not chosen this year, please understand that each year we have an extensive waitlist; we
work to offer as many of those teachers programs in the following years. If additional funds become
available we will offer programming to teachers on the waitlist.
o Scholarship recipients will be chosen based on their explanation of how they intend to integrate
Audubon’s Outdoor Science program into their curriculum and the need for science education in their
classroom. Scholarships will not be decided on a first-come, first-serve basis but reviewed carefully by
staff until all available scholarships are filled.
o We encourage all interested parties to apply as soon as possible. We will be accepting applications
through the end of September.
o If possible, we would like to serve classes from the same school and grade level in the same week
to assist Aububon’s funding commitments and scheduling.
o Teachers selected to receive a scholarship will be awarded $130 bus stipend by mail within 45 days of
your program date.
We are happy to answer questions either by phone or email at RDACeducation@auduobn.org
or call 505-983-4609 and ask for Samantha Funk, ext. 21.
IMPORTANT: All program costs for 2nd -4th are paid for by the CITY OF SANTA FE’S CHILDREN
AND YOUTH COMMISSION, including bus stipends to help cover transportation costs.
1|Page
SANTA FE PUBLIC SCHOOLS – 2015-2016 SCHOLARSHIP APPLICATION - A
AUDUBON NEW MEXICO’S 3-HOUR OUTDOOR SCIENCE PROGRAM SERIES, 1St – 5th GRADE
WHAT IS THE AUDUBON CENTER’S SCHOLARSHIP PROGRAM?
This scholarship provides SFPS teachers with FREE outdoor science enrichment opportunities and a transportation
stipend to help cover costs to our Center for your classroom!
WHO IS ELIGIBLE FOR THIS SCHOLARSHIP?
All classes in grades 1st-5th from the following schools are eligible: Amy Biehl, Aspen, Cesar Chavez, Chaparral,
E.J. Martinez, El Camino Real, Gonzales, Kearny, Nava, Nina Otero, Pinon, Ramirez-Thomas, Salazar, Sweeney,
Tesuque, and Turquoise Trail. If interested, please fill out the application included in this packet. Field trips can be
scheduled any Monday through Friday from 9 a.m. to 12:00 p.m. If you would like to request a slightly altered
schedule due to known bus delays please specify that on your application. Due to our philosophy of hands-on
learning in the outdoors, we typically schedule only one class participating at a time at the Audubon Center.
WHAT ARE THE PROGRAM OPTIONS?
Scholarship recipients will work with Audubon in a variety of ways. If you are a 1st, 2nd, 3rd, or 5th grade teacher, you
are eligible for three individual instructional activities with Audubon’s educators. These include a fall and spring 3hour field visit to the Audubon Center and a 1.5 hour winter program in your classroom.
You may choose from our menu of topics to compliment your curriculum. Our brochure can be viewed at
http://nm.audubon.org. We have suggested fall and spring programs that correspond to each grade level, but it may
be possible to switch programs between seasons. Audubon’s Outdoor Science programs can be used to introduce,
reinforce, or wrap up your life science units. The winter in-class topic is “All about Birds,” and includes hands-on
activities to introduce and reinforce concepts of adaptation, bird behavior, and conservation.
HOW TO APPLY:
Please fill out the attached application form. Don’t forget to fill out the Needs Assessment at the bottom of the
application. If applying for your whole grade level, please utilize the supplemental forms for each additional
classroom and include them together when applying. Don’t forget to save your completed application to your
desktop and email a copy back to RDACeducation@audubon.org. Applying early is encouraged! For
questions please contact our Education Department at 505.983.4609 or email RDACeducation@audubon.org.
APPLICATION SELECTION CRITERIA:
o Scholarship recipients will be chosen based on their explanation in the needs assessment of how they
intend to integrate Audubon’s Outdoor Science program into their curriculum and the need for science
education in their classroom.
o Scholarships will not be decided on a first-come, first-serve basis but reviewed carefully by staff based
on integration and need since our scholarship availability is limited to a certain number.
CONFIRMATION OF PROGRAM SCHOLARSHIP: If your application is chosen, you will receive a
confirmation document and a contract from Audubon. Once your program is confirmed, YOU, the teacher,
must schedule both your fall and spring buses through the school’s transportation department ASAP to ensure
you have a bus for your field programs. You will receive your class’s $130 bus stipend by mail within 45 days of
your program date.
2|Page
SANTA FE PUBLIC SCHOOLS – 2015-2016 SCHOLARSHIP APPLICATION - A
AUDUBON NEW MEXICO’S 3-HOUR OUTDOOR SCIENCE PROGRAM SERIES, 1St – 5th GRADE
Note: The lead teacher should fill out this form, if applying as a grade level additional “Supplemental Forms”
follow in the next pages for your team teachers.
Please complete ALL fields:
Lead Teacher's Name:
School Name:
Email Address:
School Address:
Phone #’s:
Grade:
Special Needs:
3-
Estimated class size:
Language choice:
HOUR OUTDOOR FIELD STUDIES:
ENGLISH
I SPEAK SPANISH - WILLING TO TRANSLATE
(4TH GRADE 4-DAY ECOSYSTEM EXPLORATION ON PAGE 8): Please check the fall
program and spring program you would like to register for. Give at least two specific weeks your entire grade level may
be available to attend for each program. Only one needs assessment should be included for the entire grade level.
Grades 1st-5th:
Fall Programs (suggested):
5th grade - Nature’s Interconnections (3hours)
Date:
1st grade – Natures Cycles (3 hours)
Spring Programs (suggested):
Date:
2nd
1st grade – Happening Habitats (3 hours)
grade – Super Powered Plants (3 hours)
Date:
Date:
2nd grade – Pollination Fascination (3 hours)
3rd
Date:
grade – Animal Adaptations (3 hours)
Ideally no earlier than April 18th
Date:
3rd
5th grade – Audubon’s Crime Scene
(3 hours) Date:
Investigation (CSI) (3 hours) Date:
5th grade – Mysterious Micro-Habitats (3 hours)
grade – Birds of a Feather - Adaptations
Date:
Winter “All about Birds” Program (1.5 hour in-class presentation).
Please
provide two potential dates and times between January 5th and February 12th, 2015 for
your in-class programs (2 programs per day at your school if working with a full grade
level):
By checking this box, I acknowledge the following: If I am accepted as a scholarship recipient, I understand that
the fall and spring bus stipend provided by Audubon of $130 per visit will be paid to my school within 45 days of
attending my program. I understand that cancellation of my program, under any circumstances, impacts Audubon’s
ability to complete their grant deliverables and may limit my chances in the future to participate in this scholarship
program. I will complete a demographic form, teacher evaluation, and write a letter to funders for our Audubon
programs.
NOTE: *Each teacher will sign this portion during your first Audubon program. (You do NOT have to print and mail
or fax this form.)*
Lead Teacher’s Name Here:
Date:
3|Page
SANTA FE PUBLIC SCHOOLS – 2015-2016 SCHOLARSHIP APPLICATION - A
AUDUBON NEW MEXICO’S 3-HOUR OUTDOOR SCIENCE PROGRAM SERIES, 1St – 5th GRADE
Needs Assessment:
Please tell us below or in an attached document, in 350 words or less how these scholarships will compliment science
curriculum in your classroom. Scholarship recipients will be chosen based on their explanation of how they intend to
integrate Audubon field trip topics into their curriculum, and the need for science education in their classroom.
Click here to enter text.
4|Page
SANTA FE PUBLIC SCHOOLS – 2015-2016 SCHOLARSHIP APPLICATION - A
SUPPLEMENTAL PAGE FOR GRADE LEVEL TEACHERS, 1ST- 5TH GRADE
SUPPLEMENTAL FORM - A:
Please complete ALL fields:
Teacher's Name:
School Name:
Email Address:
School Address:
Phone #’s:
Grade:
Special Needs:
3-
Estimated class size:
Language choice:
HOUR OUTDOOR FIELD STUDIES:
ENGLISH
I SPEAK SPANISH - WILLING TO TRANSLATE
(4TH GRADE 4-DAY ECOSYSTEM EXPLORATION ON PAGE 8): Please check the fall
program and spring program you would like to register for. Give at least two specific weeks your entire grade level may
be available to attend for each program.
Grades 1st-5th:
Fall Programs (suggested):
5th grade - Nature’s Interconnections (3hours)
Date:
1st grade – Natures Cycles (3 hours)
Spring Programs (suggested):
Date:
2nd
1st grade – Happening Habitats (3 hours)
grade – Super Powered Plants (3 hours)
Date:
Date:
2nd grade – Pollination Fascination (3 hours)
3rd grade – Animal Adaptations (3 hours)
Date:
Date:
3rd grade – Birds of a Feather - Adaptations
5th grade – Audubon’s Crime Scene
(3 hours) Date:
Investigation (CSI) (3 hours) Date:
5th grade – Mysterious Micro-Habitats (3 hours)
Ideally no earlier than April 18th
Date:
Winter “All about Birds” Program (1.5 hour in-class presentation).
Please
provide two potential dates and times between January 5th and February 12th, 2015 for
your in-class programs (2 programs per day at your school if working with a full grade
level):
By checking this box, I acknowledge the following: If I am accepted as a scholarship recipient, I agree that the fall
and spring bus stipend provided by Audubon of $130 per visit to pay for bus transportation will be paid to my school
for my field trip to the Randall Davey Audubon Center and Sanctuary within 45 days of attending my program. I
understand that cancellation of my program, under any circumstances, impacts Audubon’s ability to complete their
grant deliverables and may limit my chances in the future to participate in this scholarship program. I will complete
a demographic form, teacher evaluation, and write a letter to funders for our Audubon programs.
NOTE: *Each teacher will sign this portion during your first Audubon program. (You do NOT have to print and mail
or fax this form.)*
Teacher’s Name Here:
Date:
5|Page
SANTA FE PUBLIC SCHOOLS – 2015-2016 SCHOLARSHIP APPLICATION - A
SUPPLEMENTAL PAGE FOR GRADE LEVEL TEACHERS, 1ST- 5TH GRADE
SUPPLEMENTAL FORM - B:
Please complete ALL fields:
Teacher's Name:
School Name:
Email Address:
School Address:
Phone #’s:
Grade:
Special Needs:
3-
Estimated class size:
Language choice:
HOUR OUTDOOR FIELD STUDIES:
ENGLISH
I SPEAK SPANISH - WILLING TO TRANSLATE
(4TH GRADE 4-DAY ECOSYSTEM EXPLORATION ON PAGE 8): Please check the fall
program and spring program you would like to register for. Give at least two specific weeks your entire grade level may
be available to attend for each program.
Grades 1st-5th:
Fall Programs (suggested):
5th grade - Nature’s Interconnections (3hours)
Date:
1st grade – Natures Cycles (3 hours)
Spring Programs (suggested):
Date:
1st grade – Happening Habitats (3 hours)
2nd grade – Super Powered Plants (3 hours)
Date:
Date:
2nd grade – Pollination Fascination (3 hours)
3rd grade – Animal Adaptations (3 hours)
Date:
Date:
3rd grade – Birds of a Feather - Adaptations
5th grade – Audubon’s Crime Scene
(3 hours) Date:
Investigation (CSI) (3 hours) Date:
5th grade – Mysterious Micro-Habitats (3 hours)
Ideally no earlier than April 18th
Date:
Winter “All about Birds” Program (1.5 hour in-class presentation).
Please
provide two potential dates and times between January 5th and February 12th, 2015 for
your in-class programs (2 programs per day at your school if working with a full grade
level):
By checking this box, I acknowledge the following: If I am accepted as a scholarship recipient, I agree that the fall
and spring bus stipend provided by Audubon of $130 per visit to pay for bus transportation will be paid to my school
for my field trip to the Randall Davey Audubon Center and Sanctuary within 45 days of attending my program. I
understand that cancellation of my program, under any circumstances, impacts Audubon’s ability to complete their
grant deliverables and may limit my chances in the future to participate in this scholarship program. I will complete
a demographic form, teacher evaluation, and write a letter to funders for our Audubon programs.
NOTE: *Each teacher will sign this portion during your first Audubon program. (You do NOT have to print and mail
or fax this form.)*
Teacher’s Name Here:
Date:
6|Page
7|Page
SANTA FE PUBLIC SCHOOLS – 2015-2016 SCHOLARSHIP APPLICATION - A
SUPPLEMENTAL PAGE FOR GRADE LEVEL TEACHERS, 1ST- 5TH GRADE
SUPPLEMENTAL FORM - C:
Please complete ALL fields:
Teacher's Name:
School Name:
Email Address:
School Address:
Phone #’s:
Grade:
Special Needs:
3-
Estimated class size:
Language choice:
HOUR OUTDOOR FIELD STUDIES:
ENGLISH
I SPEAK SPANISH - WILLING TO TRANSLATE
(4TH GRADE 4-DAY ECOSYSTEM EXPLORATION ON PAGE 8): Please check the fall
program and spring program you would like to register for. Give at least two specific weeks your entire grade level may
be available to attend for each program.
Grades 1st-5th:
Fall Programs (suggested):
5th grade - Nature’s Interconnections (3hours)
Date:
1st grade – Natures Cycles (3 hours)
Spring Programs (suggested):
Date:
2nd
1st grade – Happening Habitats (3 hours)
grade – Super Powered Plants (3 hours)
Date:
Date:
2nd grade – Pollination Fascination (3 hours)
3rd grade – Animal Adaptations (3 hours)
Date:
Date:
3rd grade – Birds of a Feather - Adaptations
5th grade – Audubon’s Crime Scene
(3 hours) Date:
Investigation (CSI) (3 hours) Date:
5th grade – Mysterious Micro-Habitats (3 hours)
Ideally no earlier than April 18th
Date:
Winter “All about Birds” Program (1.5 hour in-class presentation).
Please
provide two potential dates and times between January 5th and February 12th, 2015 for
your in-class programs (2 programs per day at your school if working with a full grade
level):
By checking this box, I acknowledge the following: If I am accepted as a scholarship recipient, I agree that the fall
and spring bus stipend provided by Audubon of $130 per visit to pay for bus transportation will be paid to my school
for my field trip to the Randall Davey Audubon Center and Sanctuary within 45 days of attending my program. I
understand that cancellation of my program, under any circumstances, impacts Audubon’s ability to complete their
grant deliverables and may limit my chances in the future to participate in this scholarship program. I will complete
a demographic form, teacher evaluation, and write a letter to funders for our Audubon programs.
NOTE: *Each teacher will sign this portion during your first Audubon program. (You do NOT have to print and mail
or fax this form.)*
Teacher’s Name Here:
Date:
8|Page
SANTA FE PUBLIC SCHOOLS – 2015-2016 SCHOLARSHIP APPLICATION - B
AUDUBON NEW MEXICO’S 4th GRADE ECOSYSTEM EXPLORATIONS FIELD STUDY PROGRAM
WHAT IS THE AUDUBON CENTER’S SCHOLARSHIP PROGRAM?
This scholarship provides SFPS teachers with FREE outdoor science enrichment opportunities and a transportation
stipend to help cover costs to our Center for your classroom!
WHO IS ELIGIBLE FOR THIS SCHOLARSHIP?
All classes in 4th grade from the following schools are eligible: Amy Biehl, Aspen, Cesar Chavez, Chaparral, E.J.
Martinez, El Camino Real, Gonzales, Kearny, Nava, Nina Otero, Pinon, Ramirez-Thomas, Salazar, Sweeney,
Tesuque, and Turquoise Trail. If interested, please fill out the application included in this packet. The field trip
portion for this program will be on a Wednesday or Thursday from 9 a.m. to 1:30 p.m. If you would like to
request a slightly altered schedule due to known bus delays please specify that on your application.
WHAT IS THE PROGRAM?
The 4-day, Ecosystem Exploration Outdoor Science program is for 4th grade or 4th/5th combination classes. Explore
the biodiversity of various ecosystems to discover the elements of a habitat. Participants compare and contrast their
schoolyard ecosystems with those at the Center. Through this multi-day program we investigate abiotic and biotic
factors in an ecosystem, including producers, consumers, and decomposers. An interactive review of the rock cycle
and the process of photosynthesis allow students to make solid connections with concepts covered throughout the
week. Students also gain an understanding of the interrelationships between living and nonliving things. (8.5 hours
total for the week). Our brochure can be viewed at http://nm.audubon.org.
HOW TO APPLY:
Please fill out the attached application form. Don’t forget to fill out the Needs Assessment at the bottom of the
application. If applying for your whole grade level, please utilize the supplemental forms for each additional
classroom and include them together when applying. Don’t forget to save your completed application to your
desktop and email a copy back to RDACeducation@audubon.org. Applying early is encouraged! For
questions please contact our Education Department at 505.983.4609 or email RDACeducation@audubon.org.
APPLICATION SELECTION CRITERIA:
o Scholarship recipients will be chosen based on their explanation in the needs assessment of how they
intend to integrate Audubon’s Outdoor Science program into their curriculum and the need for science
education in their classroom.
o Scholarships will not be decided on a first-come, first-serve basis but reviewed carefully by staff based
on integration and need since our scholarship availability is limited to a certain number.
CONFIRMATION OF PROGRAM SCHOLARSHIP: : If your application is chosen, you will receive a
confirmation document and a contract from Audubon. Once your program is confirmed, YOU, the teacher,
must schedule your bus through the school’s transportation department ASAP to ensure you have a bus for
your field program. You will receive your class’s $130 bus stipend by mail within 45 days of your program date.
9|Page
SANTA FE PUBLIC SCHOOLS – 2015-2016 SCHOLARSHIP APPLICATION - B
AUDUBON NEW MEXICO’S 4th GRADE ECOSYSTEM EXPLORATIONS FIELD STUDY PROGRAM
Note: The lead teacher should fill out this form, if applying as a grade level additional “Supplemental Forms”
follow in the next pages for your team teachers.
REMINDER: The 4-day, Ecosystem Explorations Field Study program is for 4th grade or 4th/5th combination
classes. The program compares the ecosystems of your schoolyard to the ecosystems of the Randall Davey Audubon
Center and Sanctuary.
Please complete ALL fields:
Lead Teacher's Name:
School Name:
Email Address:
School Address:
Grade:
Estimated number of children in class:
Phone:
Special Needs:
Language choice:
ENGLISH
I SPEAK SPANISH - WILLING TO TRANSLATE
Please give three potential weeks that work for your Ecosystem Exploration program, and check either the
Monday-Thursday schedule or the Tuesday-Friday schedule. REMEMBER, days 1, 2 & 4 will be classroom
visits, and day 3 (Wednesday or Thursday) will be the field session at the Audubon Center from 9:00am-1:30pm (30
minute lunch time included, so please have your students bring a sack lunch) We will try to accommodate your first
preferences:
Monday – Thursday (RDAC visit on Wed.) or
Monday – Thursday (RDAC visit on Wed.) or
Monday – Thursday (RDAC visit on Wed.) or
1. Week of:
2. Week of:
3. Week of:
Tuesday –Friday (RDAC visit on Thurs.)
Tuesday – Friday (RDAC visit on Thurs.)
Tuesday – Friday (RDAC visit on Thurs.)
Please select your time preference for your three classroom visits:


If Monday-Thursday Schedule:
12:45pm to 2:15pm or
1pm to 2:30pm
If Tuesday – Friday Schedule:
Tuesday and Wednesday at
12:45pm to 2:15pm or
1pm to 2:30pm
and FRIDAY at
8:30am to 10am or
9am-10:30am
By checking this box, I acknowledge the following: If I am accepted as a scholarship recipient, I understand that
the bus stipend provided by Audubon of $130 will be paid to my school within 45 days of attending my program. I
understand that cancellation of my program, under any circumstances, impacts Audubon’s ability to complete their
grant deliverables and may limit my school’s chances in the future to participate in this scholarship program. I will
complete a demographic form, teacher evaluation, and write a letter to funders for our Audubon programs.
NOTE: *Each teacher will sign this portion during your first Audubon program. (You do NOT have to print and mail
or fax this form.)*
Lead Teacher’s Name Here:
Date:
10 | P a g e
SANTA FE PUBLIC SCHOOLS – 2015-2016 SCHOLARSHIP APPLICATION - B
AUDUBON NEW MEXICO’S 4th GRADE ECOSYSTEM EXPLORATIONS FIELD STUDY PROGRAM
Needs Assessment:
Please tell us below or in an attached document, in 350 words or less, how these scholarships will compliment
science curriculum in your classroom. Scholarship recipients will be chosen based on their explanation of how they
intend to integrate Audubon field trip topics into their curriculum, and the need for science education in their
classroom.
Click here to enter text.
11 | P a g e
SANTA FE PUBLIC SCHOOLS – 2014-2015 SCHOLARSHIP APPLICATION - B
SUPPLEMENTAL PAGES FOR GRADE LEVEL TEACHERS 4-Day Ecosystem Explorations
SUPPLEMENTAL FORM - A:
REMINDER: The 4-day, Ecosystem Explorations Field Study program is for 4th grade or 4th/5th combination
classes. The program compares the ecosystems of your schoolyard to the ecosystems of the Randall Davey Audubon
Center and Sanctuary.
Please complete ALL fields:
Lead Teacher's Name:
School Name:
Email Address:
School Address:
Grade:
Estimated number of children in class:
Phone:
Special Needs:
Language choice:
ENGLISH
I SPEAK SPANISH - WILLING TO TRANSLATE
Please give three potential weeks that work for your Ecosystem Exploration program, and check either the
Monday-Thursday schedule or the Tuesday-Friday schedule. REMEMBER, days 1, 2 & 4 will be classroom
visits, and day 3 (Wednesday or Thursday) will be the field session at the Audubon Center from 9:00am-1:30pm (30
minute lunch time included, so please have your students bring a sack lunch) We will try to accommodate your first
preferences:
1. Week of:
2. Week of:
3. Week of:
Monday – Thursday (RDAC visit on Wed.) or
Monday – Thursday (RDAC visit on Wed.) or
Monday – Thursday (RDAC visit on Wed.) or
Tuesday –Friday (RDAC visit on Thurs.)
Tuesday – Friday (RDAC visit on Thurs.)
Tuesday – Friday (RDAC visit on Thurs.)
Please select your time preference for your three classroom visits:


If Monday-Thursday Schedule:
12:45pm to 2:15pm or
1pm to 2:30pm
If Tuesday – Friday Schedule:
Tuesday and Wednesday at
12:45pm to 2:15pm or
1pm to 2:30pm
and FRIDAY at
8:30am to 10am or
9am-10:30am
By checking this box, I acknowledge the following: If I am accepted as a scholarship recipient, I understand that
the bus stipend provided by Audubon of $130 will be paid to my school within 45 days of attending my program. I
understand that cancellation of my program, under any circumstances, impacts Audubon’s ability to complete their
grant deliverables and may limit my school’s chances in the future to participate in this scholarship program. I will
complete a demographic form, teacher evaluation, and write a letter to funders for our Audubon programs.
NOTE: *Each teacher will sign this portion during your first Audubon program. (You do NOT have to print and mail
or fax this form.)*
Teacher’s Name Here:
Date:
12 | P a g e
SANTA FE PUBLIC SCHOOLS – 2014-2015 SCHOLARSHIP APPLICATION - B
SUPPLEMENTAL PAGES FOR GRADE LEVEL TEACHERS 4-Day Ecosystem Explorations
SUPPLEMENTAL FORM - B:
REMINDER: The 4-day, Ecosystem Explorations Field Study program is for 4th grade or 4th/5th combination
classes. The program compares the ecosystems of your schoolyard to the ecosystems of the Randall Davey Audubon
Center and Sanctuary.
Please complete ALL fields:
Lead Teacher's Name:
School Name:
Email Address:
School Address:
Grade:
Estimated number of children in class:
Phone:
Special Needs:
Language choice:
ENGLISH
I SPEAK SPANISH - WILLING TO TRANSLATE
Please give three potential weeks that work for your Ecosystem Exploration program, and check either the
Monday-Thursday schedule or the Tuesday-Friday schedule. REMEMBER, days 1, 2 & 4 will be classroom
visits, and day 3 (Wednesday or Thursday) will be the field session at the Audubon Center from 9:00am-1:30pm (30
minute lunch time included, so please have your students bring a sack lunch) We will try to accommodate your first
preferences:
1. Week of:
2. Week of:
3. Week of:
Monday – Thursday (RDAC visit on Wed.) or
Monday – Thursday (RDAC visit on Wed.) or
Monday – Thursday (RDAC visit on Wed.) or
Tuesday –Friday (RDAC visit on Thurs.)
Tuesday – Friday (RDAC visit on Thurs.)
Tuesday – Friday (RDAC visit on Thurs.)
Please select your time preference for your three classroom visits:


If Monday-Thursday Schedule:
12:45pm to 2:15pm or
1pm to 2:30pm
If Tuesday – Friday Schedule:
Tuesday and Wednesday at
12:45pm to 2:15pm or
1pm to 2:30pm
and FRIDAY at
8:30am to 10am or
9am-10:30am
By checking this box, I acknowledge the following: If I am accepted as a scholarship recipient, I understand that
the bus stipend provided by Audubon of $130 will be paid to my school within 45 days of attending my program. I
understand that cancellation of my program, under any circumstances, impacts Audubon’s ability to complete their
grant deliverables and may limit my school’s chances in the future to participate in this scholarship program. I will
complete a demographic form, teacher evaluation, and write a letter to funders for our Audubon programs.
NOTE: *Each teacher will sign this portion during your first Audubon program. (You do NOT have to print and mail
or fax this form.)*
Teacher’s Name Here:
Date:
13 | P a g e
SANTA FE PUBLIC SCHOOLS – 2014-2015 SCHOLARSHIP APPLICATION - B
SUPPLEMENTAL PAGES FOR GRADE LEVEL TEACHERS 4-Day Ecosystem Explorations
SUPPLEMENTAL FORM - C:
REMINDER: The 4-day, Ecosystem Explorations Field Study program is for 4th grade or 4th/5th combination
classes. The program compares the ecosystems of your schoolyard to the ecosystems of the Randall Davey Audubon
Center and Sanctuary.
Please complete ALL fields:
Lead Teacher's Name:
School Name:
Email Address:
School Address:
Grade:
Estimated number of children in class:
Phone:
Special Needs:
Language choice:
ENGLISH
I SPEAK SPANISH - WILLING TO TRANSLATE
Please give three potential weeks that work for your Ecosystem Exploration program, and check either the
Monday-Thursday schedule or the Tuesday-Friday schedule. REMEMBER, days 1, 2 & 4 will be classroom
visits, and day 3 (Wednesday or Thursday) will be the field session at the Audubon Center from 9:00am-1:30pm (30
minute lunch time included, so please have your students bring a sack lunch) We will try to accommodate your first
preferences:
1. Week of:
2. Week of:
3. Week of:
Monday – Thursday (RDAC visit on Wed.) or
Monday – Thursday (RDAC visit on Wed.) or
Monday – Thursday (RDAC visit on Wed.) or
Tuesday –Friday (RDAC visit on Thurs.)
Tuesday – Friday (RDAC visit on Thurs.)
Tuesday – Friday (RDAC visit on Thurs.)
Please select your time preference for your three classroom visits:


If Monday-Thursday Schedule:
12:45pm to 2:15pm or
1pm to 2:30pm
If Tuesday – Friday Schedule:
Tuesday and Wednesday at
12:45pm to 2:15pm or
1pm to 2:30pm
and FRIDAY at
8:30am to 10am or
9am-10:30am
By checking this box, I acknowledge the following: If I am accepted as a scholarship recipient, I understand that
the bus stipend provided by Audubon of $130 will be paid to my school within 45 days of attending my program. I
understand that cancellation of my program, under any circumstances, impacts Audubon’s ability to complete their
grant deliverables and may limit my school’s chances in the future to participate in this scholarship program. I will
complete a demographic form, teacher evaluation, and write a letter to funders for our Audubon programs.
NOTE: *Each teacher will sign this portion during your first Audubon program. (You do NOT have to print and mail
or fax this form.)*
Teacher’s Name Here:
Date:
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