Burke Boxes Cost Assistance Request Breadcrumb Home Education Educators & Schools Burke Boxes Burke Boxes Cost Assistance Request Bring the Burke Museum to you with Burke Boxes! DIG Box RequestYesNo Ready to get started? Complete the form and we'll be in touch to go over your request. Also, please note that all requests must be submitted two weeks prior to the requested rental period. Will you be needing cost assistance? If so, please use this form to make your Burke Box request. Questions? Call us at 206.543.5591 or email burked@uw.edu, Monday–Friday, 8 AM – 5 PM. Ready to request a DIG Box? Complete the form and we'll be in touch to go over your request. Also, please note that all requests must be submitted two weeks prior to the requested rental period. Questions? Call us at 206.543.5591 or email burked@uw.edu, Monday–Friday, 8 AM – 5 PM.DIG Boxes are only to educators who have completed the Dig Field School Program. Please verify your eligibility to reserve a DIG Box below. Yes! I have participated in the DIG Field School Month/Year completed Applying for CA?Yes CONTACT INFORMATION First Name Last Name Email Phone Phone TypePlease select... Home Cell School/Organization Alternate Phone Phone TypePlease select... Home Cell School/Organization SCHOOL, ORGANIZATION, OR GROUP INFORMATION Please tell us a little more about who will be using the Burke Box(es). What type of organization are you reserving the box(es) for?Please select... School School District Home School Library Nonprofit Other (please describe) None Other organization type School district name (if applicable) School, organization, or group name What is your role within the organization (teacher, parent, etc.)? What age group(s) will participate in this program? Early Learners (Pre-K - Grade 1)Elementary (Grades 2-5)Middle School (Grades 6–8)Other (please specify) How many Early Learners (PreK - Grade 1) will participate? Which Early Learner Grades will participate?Pre-KKindergarten1 How many Elementary Students (Grade 2-5) will participate? Which Elementary Grades will participate?2345 How many Middle School Students (Grade 6-8) will participate? Which Middle School Grades will participate?678 Please describe the "Other" age group How many people in this group will participate? COST ASSISTANCE REQUEST Do you need to request Cost Assistance? Please provide the following information to apply. Percentage of student population eligible for the National School Lunch program: % Description of student demographics (race/ethnicity): Is your class/organization able to pay any part of the total program fee?YesNo If yes, how much? Please select any of the following additional criteria for financial assistance consideration that apply to your school or organization.Nonprofit organization relying on waived admission for educational resourcesOther budgetary concernsOther reasons Please provide any additional relevant information here: BURKE BOX SELECTION Please select the Burke Box(es) you'd like to reserve from the list below. Earth ScienceDinosaursFossilsGeologic TimeRocks and Minerals CultureArchaeologyLewis and ClarkNative People and the Environment of WashingtonNative Peoples of Puget SoundNative Peoples of the Northern Northwest CoastNative Peoples of the Plateau Life ScienceBatsBirdsEvidence of EvolutionFishInsectsMammalsWhales NEW - Burke BackpacksBackyard Scientist Each Backyard Scientist Box comes with 6 packs inside. How many sets of 6 packs would you like to reserve? Please note: Pricing for Burke Backpacks is structured differently from other Burke Boxes. See our website for details. DIG BOX REQUEST INFORMATION Which DIG Box(es) you would like to reserve:DIG BoxMicrofossils with sediment only The rental period for DIG Boxes is 4 weeks. Please choose your preferred start date. RENTAL PERIOD When would you like to reserve the Burke Box(es)?Please note: Burke Box rentals must begin at least two weeks into the future and must be at least one week in duration. Cost per box is calculated in full week increments. Start Date End Date Are you requesting more than 1 box?YesNo If yes, do you want the additional box(es) for the same dates?YesNo Please indicate additional requested dates: DELIVERY INFORMATION How do you want to receive the box?I'll pick it up at the Burke MuseumI am outside of King County and would like it shipped for an additional fee* *Burke Boxes can be mailed to recipients outside of King County for an additional $30 per box. Please note that due to proximity to the Museum and an increasing number of rentals, we aren't able to offer shipping within King County. Address Type:Please select... School Business Home Shipping Address City StatePlease select... WA StatePlease select... AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Postal Code Please click "Submit" when you're ready to complete your request. We'll follow up within three (3) business days to go over your request with you and provide more information. Contact Information
