Student Utah Application Student Application Utah Scholarship application for Utah Expeditions EmailThis field is for validation purposes and should be left unchanged.Name(Required) First Last Email Confirm Email Date of Birth(Required)MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Mailing AddressCity, State, ZipCountrySelect the week(s) you could attend(Required) June 2–6 June 9–13 Either June 2–6 OR June 9–13 Please briefly describe your education status (grade, degrees, etc)Institution/School/Organization NameWhy are you interested in participating in the Utah Dig at the Hanksville-Burpee Dinosaur Quarry (Explain your personal and/or professional motivation for attending and how this experience aligns with your interests in science and paleontology.) Max 1000 characters(Required)How do you plan to integrate this field experience into your future education and growth? Be as specific as possible. Describe any planned activities, student engagement activities, or programs you envision implementing as a result of these experiences. Max 1000 characters(Required)In what ways do you hope to use this experience, or your future education, to promote science and research in your broader community? Share your ideas for increasing public interest in science, inspiring young learners, or connecting with fellow educators or organizations. Max 1000 Characters(Required)Is there any additional information you would like to share that would be helpful to your application?Letters of Recommendation (optional) Drop files here or Select files Accepted file types: pdf, jpg, doc, Max. file size: 2 GB, Max. files: 2. While letters will improve your application, they are not required for selection.Competition Terms and Conditions(Required)Terms and Conditions for Burpee Museum’s Utah Dig Scholarship By submitting this application, you agree to the following terms and conditions: 1. Eligibility Applicants must be either current educators (any grade level, including continuing education, preschool, K–12, college, or university) or students (high school and above). All participants must be at least 16 years old by the time of the dig. 2. Scholarship Value and Commitment Selected applicants will receive a scholarship that covers over 60% of the total program cost. Each scholarship recipient agrees to pay a $400 commitment fee to confirm their place. This fee helps ensure participation and covers a portion of expedition costs including tools, training, and field access. 3. Program Participation Participants must arrange their own transportation to Hanksville, Utah, or Grand Junction, Colorado (Burpee offers limited transport from Grand Junction to the site). Lodging and meals (except for group lunches at the dig site and the Friday night closing dinner) are the responsibility of the participant. Participants are expected to attend the entire week of the program, arrive on time daily, and engage fully in scheduled activities. 4. Health and Safety This is a physically demanding outdoor experience in a remote desert location. Participants must be in good physical health and able to tolerate sun, heat, hiking, and manual labor. Water, shade, and breaks will be provided, but participants are responsible for bringing personal items (e.g., sunscreen, hat, lunch, water bottle, etc.). Burpee Museum reserves the right to refuse participation to any individual based on safety or behavioral concerns. 5. Fossil Collection Disclaimer All fossils collected during the dig are the property of the U.S. government and will be deposited into the collections of the Burpee Museum of Natural History. Participants will be credited for discoveries made and may be acknowledged in future publications, displays, or research. 6. Code of Conduct Participants agree to treat staff, volunteers, and fellow team members with respect. Harassment, discrimination, or unsafe behavior will result in immediate removal from the program without refund. 7. Use of Media By participating, you grant permission for photos or videos of you taken during the dig to be used in promotional and educational materials by Burpee Museum. I agree to the competition terms and conditions.Please use the following space to include references. You may include up to 3 references Family Membership EmailThis field is for validation purposes and should be left unchanged.This field is hidden when viewing the formNext Steps: Install the User Registration Add-OnThis form requires the Gravity Forms User Registration Add-On. 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Membership Includes two adults with children within the household who are UNDER 18. Children 3 and under are always free.Primary First Last Secondary First Last Number of ChildrenChildren's Names & AgesPlease list both children's names and ages.Family/Grandparent Membership Options(Required)Please choose an option:Museum Family Membership: $95Museum Family Plus Membership: $105Museum Donor Family VIP Membership: $250Credit Card
