2025 Program Request Form

Program Request

Use this form to request a program with Holland BPW. For more information on our educational program options, visit https://hollandbpw.com/en/education. Please allow 5-7 business days for your request to process.
Contact Information

Include the name and information for the teacher requesting the field trip, program, or requesting lending library materials.
Organization*
Contact Person*
Contact Person Phone*
Please enter the best number to reach you at - a mobile number is preferred in case you need to be reached directly.
Contact Person Email*
example@example.com
Holland BPW staff may, on occasion, photograph or videotape groups or individuals for documentation, promotional, or educational purposes. Based on your students' school photo approvals, please indicate your preference:

Yes, you may photograph our groupNo, please do not photograph our group
Program Request

Programming and Lending Library information can be found at hollandbpw.com/education.
What type of experience are you interested in?*

Field Trip to a BPW FacilityPlace-Based Learning ProgramsBorrow from the Lending Library
What facility would you like to visit?*

Holland Energy ParkWater Reclamation FacilityWater Treatment PlantI would like to visit multiple facilities
Visiting Multiple Facilities on the Same or Back-to-Back Days

If you would like to visit mulitple facilities, please contact the Education and Visitor Programs Specialist, Ashley, directly (aday@hollandbpw.com) and note the following:
- Visits to multiple facilities must be requested a minimum of 1 month in advance
- Total tour time can take between 3-5 hours
- Facility tours are recommended for students taking advanced high school courses such as career and technical classes or AP Environmental Science
- You must provide your own transportation between facilities
- Capacity: 25 students

Water Reclamation Facility

The Water Reclamation Facility is located at 42 S. River Ave, Holland, MI 49423
Program(s) Requested*

Reclamation Researchers (Upper Elementary)Water Reclamation Facility Tour (Middle-High School)
Please read through the following safety requirements and restrictions:
- Participants are required to wear sturdy, closed-toe shoes
- Safety glasses are provided
- This tour is not ADA accessible and will require participants to climb stairs, walk, and stand for 45-60 minutes on paved, unpaved, grass, or uneven surfaces
- For middle and high school students only: a tour guide system is used during this tour that requires participants to wear in-ear headphones. Tours may not be suitable for participants who use hearing aid devices or have cochlear implants
To attend a tour you must agree to communicate the safety requirements above to all participants prior to arrival and understand that anyone unable to meet these requirements will not be permitted to participate. Do you agree to and understand these restrictions?*

YesNo, my group is unable to meet these requirements
Student and Chaperone Information
Number of Students*
Number of Chaperones Attending*
Chaperone Requirements: 1 adult chaperone is required for every 5 students for elementary programs. 1 chaperone is required for middle and high school student programs, however more may attend. Chaperone requirements may vary based on program requested.
Grade of Students*

Upper Elementary (4th-5th)Middle School (6th-8th)High School (9th-12th)
Are there any specific topics you are interested in or studying in class?
First choice date and arrival time for your field trip *

MonthDayYear
Date
Hour MinutesAM/PM Option
Second choice date and arrival time for your field trip

MonthDayYear
Date
Hour MinutesAM/PM Option
Please describe any special needs, ESL, ELL, or other information we should consider to ensure you have a positive experience:
13. Please share any comments, questions, or concerns regarding your field trip request.
Would you like to be added to our educator email list for more about field trips and future BPW educational programming?*

Yes, add me to your email list.No, I'd prefer not to be added.

Place-Based Learning Programs

Holland Board of Public Works is proud to partner with teachers to create customized, PBL programs that support classroom learning. PBL programs include classroom visits paired with field trips to BPW facilities and can be customized to suit your needs! Please note that PBL programs are only available in Holland BPW's service territory.
Program Requested*

The Science of Energy (4th Grade Energy Unit)The Natural and Human Water Cycles
Number of Students*
School Address*
A BPW educator will contact you by email to discuss the details of your request. Go to the next page to submit your request. Please allow 5-7 days for processing.

Lending Library

Teachers within the Holland Public School District are invited to request materials to use in their classrooms from the BPW Lending Library. Pick-up and drop-offs can take place any time Monday-Friday between 7:30am-4pm depending on staff availability.
The Lending Library is currently unavailable.
What Lending Library Materials would you like to borrow?*

Watt Meters - Classroom SetDrinking Water/Wastewater Enviroscape ModelNEED Science of Energy KitNEED Science of Energy Kit (Primary)Molecule Models SetElectromagnets (Set of 10)Simple DC Motors (Set of 10)Hand-Crank Generators (Set of 10)
Please select a pick-up date and time: *

MonthDayYear
Date
Hour MinutesAM/PM Option
Please select a drop-off date and time:

MonthDayYear
Date
Hour MinutesAM/PM Option

Submit Your Request

Press "Submit" to complete your request.
Should be Empty:

Program Request

Contact Information

Program Request

Holland Energy Park

Student and Chaperone Information

Water Reclamation Facility

Student and Chaperone Information

Water Treatment Plant

Student and Chaperone Information

Place-Based Learning Programs

Lending Library

Submit Your Request