Bring the Burke Museum to you with Burke Boxes! 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. Applying for CA?Yes CONTACT INFORMATION First Name Last Name Email Phone Phone TypePlease select... Home Mobile Work Alternate Phone Phone TypePlease select... Home Mobile Work 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.)? How many students will use the box(es)? Grades of studentsPre-KGrade 1Grade 2Grade 3Grade 4Grade 5Middle School (Grades 6–8)High School (Grades 9–12)CollegeAdults (Not in college) 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.Non-profit 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 ScienceBefore DinosaursDinosaursFossilsPrehistoric AnimalsRocks and Minerals Life ScienceBatsBirdsEvidence of EvolutionFishInsectsMammalsWhales CultureArchaeologyLewis and ClarkNative People and the Environment of WashingtonNative Peoples of Puget SoundNative Peoples of the Northern Northwest CoastNative Peoples of the Plateau 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 MuseumShip it to me through the mail Address Type:Please select... School Business Home Shipping Address City StatePlease select... AL AK AZ AR CA CO CT DE DC 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 PR VI MP GU AS PW 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
