Online Application

Email address*

Name of School District*

Applicant's Name*

Applicant's phone number

Applicant's email*

Applicant's position

School office manager name

School office manager email

Date of field trip*

Destination*

Specify educational value if destination is not on our pre-approved list above

Specify name of destination if a National Historic Site or a Museum

Number of students attending*

Number of teachers/staff attending

Number of volunteers attending

Total amount requested*

Total cost of transportation*

Total cost of admission

Total cost of other allowable expenses

What activities will you be doing at the destination*

Curriculum connection: What are the specific connections between the activities, and/or lessons and the mission of the SdCNHA*