Group Request Student/Youth Scholarship

Your Group Visit

Contact Name

School/Group Name

School/Group Address

Phone Number

Email

Grade Level

School District

Please select the financial need status that applies to your group.

We are a Title I school.

We are not a Title I school but will provide a statement of financial need.

Number of Students

Number of Chaperones

Does anyone in your group have any special needs? Please describe

Preferred Visit Date

1st Choice

2nd Choice

3rd Choice

Arrival Time

Departure Time

Lunch Plans

Bring your own bagged lunches

Buy lunch in the Delegates Café

Preorder boxed lunches/lunch vouchers

Not eating lunch at the museum