Thank you for your interest in hosting a special program at Cal Poly Humboldt! Special programs at Cal Poly Humboldt feature tailored training or academic programs at Cal Poly Humboldt through International Programs at the College of Extended Education & Global Engagement. Academic or training programs will compliment activities and cultural excursions in the local community, where students will learn about U.S. culture and Humboldt County’s unique ecosystem including the Pacific Ocean and redwood forest. Our special programs can include: Academic instruction Training Housing on-campus, with a host family, or in a hotel Meal plan depending on preference Basic Activities Package Health insurance Local transportation access Student Recreation Center access Program assistant Opening and closing ceremony Please fill out the following Program Request Form, and we'll send you a detailed proposal with cost information. NOTE: You may fill out the form multiple times if you are interested in more than one program. Organization/Agency Name Contact Name Email address Address Program Academic program Training program What type of program would you like? Program goals Please briefly describe the desired goal for this program (ex. teacher training, manager training, academic program) Hours per week Please indicate the number of hours per week of English language instruction. Session Summer Session 1: June 1 - June 30 Summer Session 2: July 3 - August 4 Spring: January - May Fall: August - December Which session would you like your program to be held in? Programs can be 1 - 5 weeks and can start any time during these dates. Note that on-campus housing will be limited during the academic year. Program Length - None -1 week2 weeks3 weeks4 weeks5 weeks How long would you like your program to be? Start date Year Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Please list the start date for your program. End date Year Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Please list an end date for your program. Participants Please list the number of participants (per session minimum: 10, maximum: 60) Age - None -Under 1213 - 18Over 18 Please indicate the age range for participants. Note that minors (under 18) will incur additional costs. Chaperones - None -YesNo Will any chaperones be accompanying the group? Note that minors (under 18) require chaperones. Arrival - None -Fly to Arcata (ACV)Fly to San Francisco (SFO) and charter a bus to ArcataOtherUnknown Please note: The Arcata/McKinleyville airport (ACV) has a limited flight capacity. All members of the group may not be guaranteed arrival on the same flight and there is very limited luggage capacity. Larger groups are encouraged to fly in to the San Francisco Airport (SFO) and charter a bus to Arcata. How do you plan to arrive to Arcata? Housing preference - None -On-campusHost familyHotel Number of participants per room - None -Single occupancyDouble occupancy Activities The basic Activity Package is $75 and includes: Prairie Creek trip, Farmer's Market, Eureka Old Town tour, Arcata Marsh, Redwood Community Forest hike, Trinidad trip, and organized sports. Please select OPTIONAL activities below. Costs are per participant. Rafting $80 Bowling $20 Kayaking $45 Surfing $65 Stand Up Paddle Boarding $65 Backpacking $150 (3 days) Archery $35 Rock Climbing $45 Beach Bonfire $10 Dick Taylor Chocolate Tour $10 Holly Yashi jewelry tour $10 Cypress Grove Goat Cheese tour $10 Fire and Light glassmaker tour $10 Lacey’s cookies $10 Farm Tour $10 Trip to the mall $10 Crabs Baseball game $10.00 Rodeo at Eureka Fairgrounds $30 Oyster festival (June) $5 July 4th Fireworks and picnic $10 Arcata Kinetic Sculpture Race $10 Sand Sculpture festival $10 Trinidad Fish Festival $10 Mad River Festival $10 Del Arte Theatre Live Performance $35 Movie Theatre $20 Eureka Zoo $18 Car Racing at Redwood Acres Raceway $12 Additional information Do you have any other special requests or considerations? If so, please list them here. CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
