Joan Loring Alfond field trip grant application - Page Farm and Home Museum

Applicant Name
School Name
Mailing Address
City
State
Zip Code
County
Email
Telephone
Subject(s)
Grade Level
Field Trip Experience (must include Fiber & Folk Art to be eligible.)
Date of FTE
- Are you willing to help the Museum assess the value of its field trip programming by completing a one-page post-visit evaluation form?
What are the goals and potential achievable outcomes of your trip?
How will this trip enhance your classroom learning?
Additional Staff Support / Total Trip Costs / Less Cash Match
Grant Funds Requested
Travel -- Bus, Driver, etc. / Total Trip Costs / Less Cash Match
Grant Funds Requested
Field Trip Experience Fee / Total Trip Costs / Less Cash Match
Grant Funds Requested
Total Trip Cost Plus Less Cash Match
Total Grant Fuds Requested (Max amount $250)
Name
This field is for validation purposes and should be left unchanged.