Scholarship Bus Reimbursement Form

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Partial bus reimbursement is available for classes that meet the following criteria:

Public School with 40% or more of enrolled students that qualify for government subsidized meals
Title I school
Federally funded Headstart or ECEAP program
Youth program receiving 5% or more of its funding from government sources
Youth program in which 40% or more of the enrolled children receive some form of public assistance
A minimum of 25 students visited the museum for a field trip program

Teacher Name*

First Last

Email Address*

School Name*

District Name

Field Trip Date*

Number of Students*

Please enter a number less than or equal to 100.

Check Payable To*

Address Where Payment Should Be Sent*

Street Address City State / Province / Region ZIP / Postal Code

Document Upload*

Please upload paid transportation invoice or receipt.

Max. file size: 100 MB.

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