ECAN Application - Hudson Highlands Nature Museum
1 Hudson Highlands Nature Museum Early Childhood Action in Nature (ECAN) Project Early Childhood Program Application Part One: GENERAL INFO 1. Contact Information School Name: _______________________________________________________________________ School Address: ____________________________________ _________________________________ City, State:__________________________________________________ Zip:____________________ Main phone number: ____________________ Main fax number: ________________________ School website: _________________________________________________ School Director: Name______________________________ Phone:___________________ Email:__________________________________ Primary contact (if different from director): Name______________________________ Phone:___________________ Email:__________________________________ 2. Our school would prefer to participate in the ECAN project: Fall 2015 Spring 2016 Either Fall 2015 OR Spring 2016 3. Does your school follow a specific curriculum or combination of curriculum influences? (Montessori, Reggio Emilia, High/Scope, etc.?) Please tell us about your curriculum. [Note: If curriculum is described on your school’s web page, you may simply direct us to that part of your site.] _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Hudson Highlands Nature Museum PO Box 451, Cornwall, NY 12518 (845) 534-5506 2 Transportation: 4. Have you taken your students on field trips? _________________________ If no, why not? ________________________________________________________________________ If yes, how are your students transported on field trips? _______________________________________ Outdoor Play 5. How much time do you usually spend outdoors with your students daily? 0-10 10-20 minutes 20-30 minutes More than 30 minutes 6. What types of outdoor spaces do you have access to on or near your school property? (check all that apply) An open field Blacktop/concrete or parking lot Grassy slope or hill Playground (no trees/plants/grass) Playground with trees/shrubs/grass We can observe local wildlife when we are outdoors We go for walks in the neighborhood around our school We have access to a body of water (pond, creek) We have our own nature play area (please describe): _______________________________ Wooded areas Other: __________________________________________________________________ Comments: Hudson Highlands Nature Museum PO Box 451, Cornwall, NY 12518 (845) 534-5506 3 7. Which activities do your students predominately engage in while outdoors (check all that apply): Activity Playing/Digging in dirt/sand Balance activities (walking on fallen logs, raised surfaces) Climbing activities (jungle gym, etc.) Water play (stream/puddle/water table) Playing in seasonal elements (leaves, snow) Exploration of environment Group hike/exploration Playground equipment (swings/slides, etc.) Balls, ropes Ride-on Toys Teacher-organized group games Never Sometimes Often Other: ________________________________________________________________________ ______________________________________________________________________________ 8. What types of situations prevent you from taking your students outdoors? (Check all that apply) Cold weather (temperatures under _____________) Warm weather (temperatures above ____________) Rain/Snow Icy conditions in outdoor play space Lack of availability of outdoor space Concern about safety/liability Concern about ticks Other: ________________________________________ 9. Has your school ever participated in any programs conducted by the Hudson Highlands Nature Museum? (yes/no) _________ If yes, what program (s)?:___________________________________________________________ If yes, where did the program (s) take place (check any that apply): In-school program at our location Wildlife Education Center Outdoor Discovery Center Grasshopper Grove 10. Have you been to Grasshopper Grove, the HHNM’s Nature Play Area? (yes/no) _____________ Hudson Highlands Nature Museum PO Box 451, Cornwall, NY 12518 (845) 534-5506 4 Part Two: PERSONAL INFORMATION 1. Please tell us about your own childhood experiences outdoors (Where did you often play? What were your favorite outdoor play experiences? ) ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ 2. Have you ever led a workshop or spoken at a conference? ___________ If yes, who was the audience attending the conference(s) or workshop(s)? (check all that apply) Teachers Teacher Education students Parents Directors Open to the Community 3. What would you like to gain from the experience of participating in the Early Childhood Action in Nature project? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Hudson Highlands Nature Museum PO Box 451, Cornwall, NY 12518 (845) 534-5506
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