Grant Assisted Program Application Teacher Name Teacher Email Address School Name* School Address* School City, State, Zip Code* School County* 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* Program Requested* Preferred Program Date* 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 a program with Vulcan Park and Museum?*