Scholarship Application Please fill out the form below to apply for a program scholarship at the Insectarium. We have a limited number of scholarships available so please apply promptly to be included this school year. NameEmail AddressPhone NumberSchoolGrade Level or Role at the SchoolPlease list the number of classes applying and the names of all teachers connected to this application.Example: Three first grade classes - Mr. Joe Smith, Ms. Katie Jones, Mrs. Liz Sims. Total Number of StudentsIf you are applying with a group of teachers (all first grade teachers, for example) please list the total number of students you are looking to bring to the Insectarium. It is helpful to know an approximate number of students per class. For example: 62 kids, in three classes of about 20 - 21 each. Are you a part of a Title One School?Please describe your financial need. What budgetary restrictions necessitate this scholarship application?How would a field trip to the Insectarium benefit your students?Please briefly explain how our programing connects to the content you are covering in your classroom and how a trip to the Insectarium will improve your students' understanding of that content.Which field trip program are you most interested in?Bugs on the MoveOtherNot sureDo you have preferred dates or days of the week for your visit?