Adirondack Woods, Waters and Wonder: Family Science Series
Thank you for applying to participate in Adirondack Woods, Water and Wonder: Family Science Series. Applications are due Wednesday, April 2, 2025. Notifications of acceptance into the program will take place by early April 2025. Please fill out one application per family group. (1 adult and 1 child)
Personal Information
Full Name Parent/Caregiver
*
First Name
Last Name
Verify the adult / child relationship
*
The adult applying is child's legal parent/ guardian
The adult applying is a caregiver for the child but applying with parental permission
Other
Child's Full Name
*
First Name
Last Name
Age of participating Child as of May 3rd, 2025?
*
8
9
10
11
Other
If you selected Other please describe here. This program is designed for 8-11 year olds please provide additional information if your child's age falls outside this range.
Caregiver Email Address
*
example@example.com
Caregiver Phone Number
*
Caregiver Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Please select the primary or secondary languages spoken within the households of the caregiver and child.
*
English
French
Spanish
Mohawk
Mandarin
Other
Enter Parent/Guardian Contact Information (if different from Caregiver above)
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Parent/Guardian Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Timing, Travel and Project Logistics
Why are you applying to attend this family science series?
*
At this time are you committed and available to attend this six-week series? The series will be held on Saturdays in May/June. Please select the dates you are available. (Note we are skipping Memorial Day Weekend for a formal workshop)
*
May 3rd
May 10th
May 17th
NO WORKSHOP MEMORIAL DAY WEEKEND
May 31st
June 7th
June 14th
Travel
The workshop plan is to explore the Adirondacks together, traveling to new locations. Below is a list of POTENTIAL locations/topics covered each week. We recognize that we live in a rural community and travel can be a barrier. As we are building these workshops we are trying to find the best way we can support families. Please let us know what would be helpful.
Locations: If you anticipate any challenges in traveling to the field trip sites (The Wild Center, Paul Smith's College VIC, Six Nations Iroquois Cultural Center, Adirondack Loj at Heart Lake) please let us know what support may be helpful here.
Research
In working to learn from and improve these workshops, we will be conducting research to examine its effectiveness with the goal of improving educational family programming nationwide. Families will be asked to provide feedback about the workshops through surveys and virtual interviews. Families will receive a stipend for participating in the workshop series, gas cards to cover transportation costs, and lunch will be provided at each workshop. Please contact Debbie Siegel at debbie.siegel@freechoicelearning.org with any questions about the research.
Do you agree to participate in the research portion of the program?
*
Yes, I Agree to Participate in the Research
Yes, I Agree to Participate in the Research BUT have questions
No, I Do Not Agree to Participate in the Research
If you selected "Yes, I Agree to Participate in the Research BUT have questions" please list them here.
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Getting to Know You
Seeing how the two of you are applying together please take time to fill out this section together.
What do you like to do outside?
*
Caregiver: We are interested in hearing why you signed up to do this program together? What types of activities, opportunities, and experiences you are most excited for and think would be of greatest benefit?
*
Child: During these field trips we are going to get out and explore the Adirondacks. What are you most excited to do, see or learn about during our adventures?
*
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Final Thoughts
Do you have any remaining questions/comments?
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Thank you for completing this application and for your interest in this series!
We are accepting applications through Wednesday, April 2nd, 2025. Space is limited and accepted participants will be notified by early April. Thank you!
Submit
This material is based upon work supported by the National Science Foundation under Grant 2115488.
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