inStill Gallery Experiences Request Form
The Clyfford Still Museum offers inStill Gallery Experiences. Immersive and activity-based, inStill Gallery Experiences transform
the galleries into a classroom. Not just an art experience, inStill field trips integrate art, literacy, and humanities for students in
grades 4-12.
inStill Gallery Experiences are available for a minimum of 10 students and maximum of 30 students. One chaperone is
required for every 10 students. They require 3 weeks advance notice to schedule, and are subject to availability. They are
offered Tuesday-Friday mornings.
To schedule your visit, please complete the information below and email to [email protected]. You may
also fax your completed form to: 303-534-1766. Attn: Education & Programs. Upon receipt of your request, a Museum
representative will contact you with available dates, times, and details regarding your visit.
inStill Gallery Experiences are recommended for groups in grades 4-12. They are offered free of charge. Funds to help with
the cost of busing are available for qualifying schools.
Contact Information
Contact Name:
School Address:
School Name:
City:
School District:
State:
Phone:
Date Submitted:
Zip:
Email Address:
Group Information
Students’ Age:
Students’ Grade:
(If multi-age classroom, please provide range)
Number of Students (Min 10 Max 30):
Number of Chaperones:
(1 per every 10 students required)
Department or Subject Area Organizing the inStill Gallery Experience: (i.e., Art, History, Homeroom, etc.)
______________________________________________________________________________________________________________________
Please indicate which lesson you would like implemented during your visit:
1250 Bannock Street
Denver, CO 80204
Phone: 720-354-4876
fax: 303-534-1766
[email protected]
2
Scheduling
inStill Gallery Experiences are offered Tuesday - Friday mornings by appointment with at
least 3 weeks advance notice. They are 90 minutes in length. Start times are available
between 9 am and 10:30 am.
Please list three different dates and times in order of preference for your visit:
Date 1:
Date 2:
Date 3:
Time 1:
Time 2:
Time 1:
Time 2:
Time 1:
Time 2:
In order to help plan the best museum experience for your group,
please tell us about your students and group:
Are there any special needs in your group (please explain):
What is the purpose of your visit? What learning objectives do you have for the visit?
How does this tour fit your classroom curriculum?
What kind of background knowledge, if any, do your students possess that would be helpful for the Museum staff to know
about in planning your visit? For example experience with art, modern art, museums, history, etc.? Familiarity with the
workshop model?
What transitions or other classroom management strategies, if any, do you use in your classroom? (e.g. quiet coyote,
clapping, counting down, etc.)
Internal Purposes Only:
EMAIL CONFIRMATION:
DATABASE CONFIRMATION:
NOTES:
Date of inStill Gallery Experience:
☐ Bus reimbursement (if applicable)
☐
Date bus reimbursement sent: