K-5 inStill Experiences Request - Clyfford Still Museum

Contact Information

Primary Contact Name*

First Last

Primary Contact Email*

Primary Contact Cell Phone Number*

This is for planning and emergency purposes only. We will not save or share your phone number.

Additional teacher name(s)

Additional teacher email address(es)

School Name*

School District

School Address*

Street Address Address Line 2 City State Zip Code

Payment Information

inStill has a cost of $6/student. Teachers and 1 chaperone for every 8 students are included. Additional chaperones are $10 each. The cost is waived for schools that receive Title 1 funds. Additional scholarships are available.

Number of Students Attending*

Number of Teachers/School Staff Attending*

Number of Chaperones Attending*

Choose Your Cost*

Standard cost: $6/student
Cost waived: My school receives Title 1 funding.
Scholarship Requested: My school does not receive Title 1 funding, but needs a scholarship.
Virtual: No cost

If you do not receive Title 1 or Head Start funding and are requesting a scholarship, please describe your needs below.

Scheduling

When would you like to visit? Let us know if you have specific dates in mind or if you are flexible within a certain week or month.*

inStill Experiences are available Tuesday–Friday between 9:30 a.m. and 1:30 p.m. inStill is not available on Mondays.

Lesson Location*

At the Clyfford Still Museum
In my classroom (if located within the 7-county SCFD area)
Online

Tell us about your students!

Grade Level*

Subject*

How does this visit fit into your curriculum? What have you been working on?*

What kind of background knowledge or schema will students bring to this experience?*

Have students visited a museum or another cultural site before? What kinds of art experiences (both looking and making) have they had?

What brings your students joy?*

This might be a conversation topic, a classroom norm or routine, a piece of media or culture-anything! We’ll use this info to help us build rapport with students and to make connections to things that are familiar.

The Clyfford Still Museum welcomes students and educators with disabilities. We work closely with our community to ensure that individuals with disabilities can fully participate in our programming. We provide an array of inclusive programming, offer educational support upon request, and strive to customize your museum experience to fit the needs of all learners.

How many of your students identify as having a disability?

A person with a disability is someone who has a physical or mental impairment that substantially limits one or more major life activities, has a history or record of such an impairment, or is perceived by others as having such an impairment. This helps us with the funding and planning of our programs and will not be shared.

Which accommodations would support students in your group?

Noise-canceling headphones
Tactile materials
Sensory fidgets
Visual instructions
ASL interpretation
1:1 educator support
Wheelchair use

Do any of your students primarily speak a language other than English? If so, which language(s)?

We can provide bilingual support or lessons in Spanish pending bilingual educator availability.

Is there anything else you want us to know at this time?

How did you learn about this program?*