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School Overnight Program Application

IslandWood > School Overnight Program > School Overnight Program Application

School Overnight Program Application Form

Please review the instructions on how to attend the program before starting the form.

School Information

School Name

Address

City

State

Zip Code

School District

Principal or Head of School

Primary Contact Information

First Name

Last Name

Title

Phone Contact

Fax Number

Email Address

Enrollment Information

Estimated # of Students expected

# of Classes

Grade Level(s)

Please indicate the preferred months you would like to attend IslandWood. Indicating less than three choice limits you chance of securing a preferred date. Naming three of the same months will be considered one choice.

First Choice

Second Choice

Third Choice

Please indicate any weeks during the school year that you are unable to attend due to testing, teacher / parent conferences, professional development, etc.

How did you hear about IslandWood

Other

Scholarship Information

Is your public school seeking a scholarship to help attend the School Overnight Program?

YesNo

1) What is your school's latest percentage of students who qualify for free & reduced lunch?

(If your school does not publish its rate of free & reduced lunch through the Washington Office of Superintendent of Public Instruction, documentation must be returned with your application.)

2) Do any of the grades at your school currently attend a residential environmental education program other than IslandWood?

3) What other sources of funds will your school be able to use? Describe your fundraising plans and how the students will be involved:

IslandWood acknowledges that we live and work on the ancestral land of the Coast Salish people, who have been stewards of this region's land and waters since time immemorial, and who continue to protect these lands and waters for future generations, as promised by the Point Elliott Treaty of 1855, the Treaty of Point No Point of 1855, and the Treaty of Medicine Creek of 1854.

While the majority of our work takes place on Suquamish (suq̀ʷabš) and Duwamish (dxʷdɐwʔabʃ) land, we also conduct programs on the land of the Snohomish (sduhúbʃ), Puyallup (spuyaləpabš), Muckleshoot (buklshuhls), Skokomish (sqoqc’bes), and S’Klallam (nəxʷsƛ̕ay̕əm) peoples.

IslandWood is a registered 501(c)(3) charitable organization. Our tax ID number is 31-1654076.

4450 Blakely Ave. NE, Bainbridge Island, WA 98110 206.855.4300

A Special Thanks to our corporate sponsor

Website designed by RoryMartin.com

School Overnight Program Application

School Overnight Program Application Form

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