Museum Educators,

The Division of Education, Carnegie Museum of Natural History is
compiling information on museum educational programs.

Would you please take a moment to fill out the following
questionnaire concerning outreach programming at your museum.  I am
particularly interested in finding out which museums provide
outreach programming for special needs children's audiences and the
elderly.

Even if you do not provide programs for each of these groups,
please respond by letting me know that. It's just as important to
know who is not providing these services as well as those who are.

I will be happy to provide an update of the data to all educators
who participate in answering the following questions:

Your name_________________________  Phone #______________
Name of museum____________________
     City_________________________

1.   Do you have an outreach program for special needs children
     i.e., those in hospitals, institutions, special schools... ?
     yes_____
     no______

2.   Do you have an outreach program for the elderly i.e., those in
     nursing homes, senior centers...?
     yes_____
     no______

3.   If yes to either of the above questions, how many outreach
     programs per year do you provide:
     for special needs children?_______
     for the elderly?______

4.   What is the ratio of presenters to children/adults at the
     programs?
     for special needs children__________
     for the elderly___________

5.   How many different program topics do you present i.e.,
     dinosaurs, rocks & minerals, butterflies..?
     for special needs children?______
     for the elderly?______

6.   Are your programs done on a regular basis at the institutions
     you serve i.e., the 1st Monday of every month, or are they
     done periodically on request?
     Special needs children    Regularly_______On Request_______
     Elderly   Regularly_____  On Request________


7.   Do you use volunteers to present programs for special needs
     children's audiences?
          yes_______ How many?________
          no________

8.   Do you use volunteers to present programs for the elderly?
          yes______ How many?_________
          no_______

9.   Do you use paid staff to present programs for special needs
     children?
          yes_____ How many?______
          no______

10.  Do you use paid staff to present programs for the elderly?
          yes_____  How many?_______
          no______

11.  Do you charge a fee for these programs?
          For special needs children?  yes____ no_____
               If yes, how much?______
          For the elderly?  yes____ no______
               If yes, how much?______

12.   What is the yearly budget for each of these programs?
          An outreach program for special needs children__________
          An outreach program for the elderly __________

13.  Where does the funding come from?
     For special needs children_______________________________
     For the elderly__________________________________________

14.  Do you partner with any other organization to present these
     programs?
          For special needs children  yes_____  no_____
          If yes, what kind of organization do you partner with?
          _____________________________________________________

          For the elderly yes_____  no______
          If yes, what kind of organization do you partner with?
          _____________________________________________________

Thanks so much for your help in compiling this information.  I
tried to keep the questionnaire as short as possible, but I would
love to hear from you if you have any additional information you
would like to share.

Diane Grzybek
Program Specialist, Children's & Family Programs
Carnegie Museum of Natural History
Pittsburgh, PA  15213-4080
Fax 412 622-3419
email [log in to unmask]