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Community Partner Application
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Community Partner Application
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School Name
School Address
Address Line 1
Address Line 2
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Contact Person
*
First
Last
Contact Email
*
Contact Phone Number
What's the best way to contact you?
Phone
Email
Mail
Audience served (size & ages)
Number of Students/Adults
Is your school at Title I School?
Yes
No
Please indicate student population percentages:
White
Black
Hispanic Origin
Asian
Native American
Please attach the following to your application:
A copy of your school's/organization's mission statement
Click or drag a file to this area to upload.
For Non-Profits:
A copy of your organization's 501(c)(3)
Click or drag a file to this area to upload.
A letter signed by the director, on letterhead, requesting an admission scholarship
Click or drag a file to this area to upload.
For Schools:
A letter signed by the principal requesting a scholarship & confirming your Title I status (if applicable)
Click or drag a file to this area to upload.
Answer any of the following questions applicable
Does your school/organization receive special funding (head start, title I, etc.)?
What percentage of your students/group qualify for free or reduced lunch?
What is your funding per child for educational field trips each year?
Do you charge a fee or place restrictions on who can receive your services?
Are there other circumstances that make access to the Museum difficult for your families?
Due to increased requests, how many, if any, of your students could pay:
$3.00
$2.00
$1.00
Is there any other information about your program you wish to share with us?
*
Phone
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