Program Planning Form

Greetings from the Central Wisconsin Environmental Station! Please fill out this form completely and submit 4 weeks prior to your visit. We need this form to schedule staff, meals, and equipment. If this information is not completed and submitted by this deadline we cannot guarantee the program or time you request. Use the “Program Planning Guide” to answer questions and help you complete this form.

School Information
School Name:

Grade:

Number of students attending trip:

School Mailing Address:

School Phone Number:

School Fax Number:

Coordinator Name:

Coordinator Home Phone:

Coordinator Email Address:

Will you be attending the trip with the students?

Additional Teachers:

Additional Chaperones:

Trip #1	Trip #2	Trip #3	Trip #4
Program Dates:	Program Dates:	Program Dates:	Program Dates:

Lead Teacher:	Lead Teacher:	Lead Teacher:	Lead Teacher:

Program Type
Please select one:

Arrival Time

This information is required for completion of your schedule. (Please check with your transportation office.) Standard arrival time for an overnight group is 11:00am with a 12:00pm departure time.

Note: If you pick up and drop off groups on the same day there should only be one hour of overlap time. Arrival for group 2 is at 11 AM and departure for group 1 is at noon (after an early lunch).

Arrival Time:
Departure Time:

Programming

Wisconsin Forestree, Winter Ecology or Changing of the Land - You have chosen a unit-based educational program. No additional choices are necessary. Your students will take part in a set progression of educational activities. However, if you would prefer to make substitutions, please refer to the “A La Carte Lesson Menu” in the Program Planning Guide. Please indicate any lessons you are interested in incorporating with your program by checking the lesson below.

A la Carte - For A La Carte programs, refer to the “A La Carte Lesson Menu” in the Program Planning Guide to select a theme, related lessons, and evening programs (if applicable). Tom Quinn, the Program Manager, will contact you to discuss your options prior to your visit. Please check Pthe lessons you are interested in participating in the far left column below:

Evening Programs (for residential programs only)

Teachers are responsible for their students from 4:00 PM until after dinner at 6:30 PM regardless of program selected. After dinner, at least two staff members will lead the evening program with your support.

Our typical evening program consists of an educational program followed by a night hike or campfire. Please check one item from each list that you would like your students to participate in:

Pre-visit and Post-visit Activities

CWES A la Carte and Winter Ecology lessons have pre and post-visit activities. The pre and post activities are designed to help students gain the most from their CWES experience. Completing some or all of these activities with your students will help prepare them for their visit and reinforce concepts after returning to school. Go to www.uwsp.edu/cwes and click on the “School Programs” link. Pre and Post Activities can be found under specific programs.

Note:

Changing of the Land has an in-class curriculum which every 4^th grade teacher should have a copy of.

Wisconsin Forestree has an in-class curriculum available at http://www.uwsp.edu/cnr/cwes/Forestree

Food Service

ONE DAY PROGRAMS: Please check your choice for lunch.

*Hot Lunch has an additional fee of $4.50 per person. There is a minimum requirement of 15 participants for Hot Lunch.

RESIDENTIAL PROGRAMS: All meals are provided starting with lunch on arrival day and concluding with lunch on departure day.

Note: If you are receiving food service, please complete our menu selection form and submit it with your Program Planning Form.

Trading Post

We offer educational items and merchandise imprinted with the CWES logo that allow your students an opportunity to take home a lasting memory from their visit to CWES. The nature exploration equipment, identification books, and other items that are sold will provide a continuation of what is taught at CWES. All proceeds from sales are used to upgrade and improve program supplies. Items subject to availability and prices may change. An item and price list (not including tax) for the General Store is available in your Program Planning Guide.

Would you like this opportunity for your students?

Curriculum Connection

How are these lessons related to your classroom curriculum? (This will help our staff meet your educational goals.)

Special Needs

Please note any specific special needs, instructions, or comments: (i.e. physical/behavioral
challenges, dietary needs, etc.)

Once your form has been received, you will be contacted to finalize the schedule. Please contact us if you have any questions or concerns about any part of this form or if any special arrangements are needed. Thank You!