"*" indicates required fields Organizer Contact InformationName of Institution and/or Group*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Name*Contact Email Address* Contact Phone Number - Cell Number*Contact Phone Number - School Number*About Your GroupTotal # of Students*Number of Groups/Classes*Grade Level(s) of Group*Total # of Chaperones*Names and Emails of Fellow Teachers Attending This Field tripDate Requested - 1st Choice* MM slash DD slash YYYY Date Requested - 2nd Choice* MM slash DD slash YYYY Earliest time you can arrive at the IQhub?What time would your group need to leave the IQhub?Would you prefer a morning or afternoon visit?Program Selections by GradeFor educators who are returning, would you prefer to have the same program as last school year? Yes No PreKClick for Dropdown Lesson ListPlanting Lesson (Spring)Harvesting Lesson (Fall)Agriculture In Our Daily LivesKindergartenClick for a Dropdown ListPlants and Animal NeedsEnvironmental ChangesoiceFarm to Fork: Dairy LessonAgriculture in Michigan1st GradeClick for a Dropdown ListBiomimicry LessonInheritance and Variations of TraitsSun, Seasons, and FarmingAgriculture in Michigan2nd GradeClick for a Dropdown ListPollination LessonSeed DispersalPlant Needs (Spring & Summer only)Biodiversity in AgricultureAgriculture in Michigan3rd GradeClick for a Dropdown ListThree SistersHistory of Michigan Apples (Fall only)HeredityLife CyclesAgriculture in MichiganWells and Groundwater4th GradeClick for a Dropdown ListSoils and RootsProcessing Information and SensesCorn: Fiber, Food, FuelHistory of Butter/DairyWells and Groundwater5th GradeClick for a Dropdown ListHow Plants Meet Their NeedsWater FiltrationFood Webs and VermicompostingMatter and InteractionsConservation: Reduce, Reuse, RecycleWells, Groundwater and WatershedsMiddle SchoolClick for a Dropdown ListCool Chemistry - AgroLiquid ChemistryCool Chemistry - Chemical ReactionsPhotosynthesisAquatic Biodiversity and MacroinvertebratesCareers in AgricultureBirds and Bees of PlantsForestryPlant PicassoWonderful World of WaterHigh SchoolClick for a Dropdown ListCareers in AgricultureAgroLiquid and ChemistrySoil CSIIntro to GeneticsProtein PleaseJust a Few More Details...Briefly describe purpose for visiting the IQhub*Will you be eating lunch at the IQhub?* Yes, we will bring sack lunches Yes, we will arrange for lunch to be delivered No, our trip is not during lunchtime Please give us any other information that may be important for your visit (special accommodations; food allergies; etc)NameThis field is for validation purposes and should be left unchanged. Stay In Touch with the IQhub Email* NameThis field is for validation purposes and should be left unchanged.
