Grant Assisted Field Trip Application Teacher NameTeacher Email AddressSchool Name*School Address*School City, State, Zip Code*School Phone Number*Grade(s)*What grade(s) do you, the teacher, wish to bring on a field trip to Vulcan Park and Museum?School System*Number of Students*How many students do you wish to bring on a field trip to Vulcan Park and Museum?Number of Teachers*How many teachers will accompany your students on a field trip to Vulcan Park and Museum?Number of Chaperones*How many chaperones will accompany your students on a field trip to Vulcan Park and Museum?School Administrator*Name and Title School Administrator Phone Number*School Administrator Email*What educational program are you seeking grant assistance for?* Anything is Possible Birmingham History on the Road Museum Tour Right Here in Birmingham Preferred Date*Second Date Option*Third Date OptionWhat time would you prefer your program to begin?*Is this a Title 1 School?**Being a Title 1 school does not automatically qualify or disqualify a school for a grant-assisted field trip. Why are you seeking grant assistance for your field trip to Vulcan Park and Museum?* Submit This iframe contains the logic required to handle Ajax powered Gravity Forms.