Field Trip Subsidy Application Form
Field trip subsidies are intended to underwrite transportation cost and admission fees, and are not normally used to cover meals, and/or substitution expenses.
Title
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
School Name *
For homeschooling groups enter N/A
Your answer
School Mailing Address *
Your answer
City and Postal Code *
Your answer
Phone Number *
Please provide a number that has voice mail capabilities. Preferred format 123-456-7890.
Your answer
Alternate Phone Number
Your answer
Grade Level(s) | Subject(s) *
Your answer
Number of Students *
Your answer
Number of Adult Participants *
Indicate the number of teachers and chaperones taking part in the excursion (including the Trip Leader).
Your answer
Destination *
Your answer
Date of Field Trip *
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Reason for the Trip *
Describe how the field trip will augment your Earth science curriculum-based learning goals.
Your answer
Number of Buses
If applicable.
Your answer
Which Mining Matters resource in-service did you attend? *
Select the most recent in-service attended.
Eligibility Status *
Is this your first time applying for Mining Matters field trip subsidy? *
When did you last receive funding for a school excursion?
You are required to answer this question if you responded, "NO" to the previous question.
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Please confirm that you agree to the following: *
Required
Comments and questions
This section is optional.
Your answer
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