Field Trip Scholarship Application

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Thank you for applying for a field trip scholarship from Indian Creek Nature Center. We use this form to collect information from schools interested in obtaining a scholarship for transportation or student admission costs. The results are sent to our Education Manager for review. We will be in touch with you within one week regarding your approval.

Email *

Teacher Name *

School *

Grade and/or content area *

Number of students on trip *

Proposed date or season of field trip *

Has school visited ICNC in the past? *

Yes

Not sure

Has school received scholarship funds from ICNC in the past? *

Yes, for transportation.

Yes, for student admission costs.

Yes, for transportation AND student admission costs.

Not sure

Please choose all that best describe your school. *

ESSA Section 1003 (formerly known as NCLB SINA)

Title 1 School

Magnet School

Charter School

Private School

Parochial School

Public School

Daycare or Childcare Center

Other:

Required

Will the majority of students on this trip be... *

At-risk

Special education

Talented and Gifted (TAG)

ELL (English Language Learners) or ESL (English as a Second Language)

Culturally or ethnically diverse

Other:

Required

What funding is being requested by the school? *

Full price field trip admission is $5 per person, per program.

Transportation (up to $110)

25% of field trip admission cost

50% of field trip admission cost

100% of field trip admission cost

Other:

Required

Send me a copy of my responses.

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