Hagley Museum and Library - Application for Scholarship Funds Eligibility: Hagley offers scholarships for admission, and in some cases transportation, for field trips to the museum. Funds are available to all K-12 schools in any state on a first-come, first-served basis. Applications are accepted on a rolling basis, but must be received no later than two weeks prior to the field trip date. Questions? Contact Jeff Durst at (302) 658-2400 ext. 285 or jdurst@hagley.org. School Name * School District * School Address * Teacher's Name * Teacher's Phone * Teacher's Email * Title of Program * You may select more than one program. Life at the Gibbons House 19th Century Day Factory System Workshop Industrial America Building STEAM Water Power Tour Stream Water Testing Workshop Simple Machines Tour Combination Tour (Life at the Gibbons House and Factory System Workshop) Date of Program * For multiple dates/visits, please submit a new form for each date. Enter just ONE DAY below. Year Year202520262027 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Grade Level * Number of Students * How many students attending the trip are eligible for the free or reduced lunch program? * Does your school receive federal Title I funding? * Yes No Are you requesting: * You may select one or both of the options below. waived student admissions reimbursement for bus transportation If you selected reimbursement for bus transportation, please enter an estimated amount: $ If approved, schools must provide a receipt for bus transportation reimbursement within two weeks following the field trip date. Curriculum Connection * Please enter here a written explanation (up to 200 words) of how an education program at Hagley will benefit your students and meet state curriculum standards.
