11.07.2015 Views

In Full Bloom Scholarship Fund - Denver Botanic Gardens

In Full Bloom Scholarship Fund - Denver Botanic Gardens

In Full Bloom Scholarship Fund - Denver Botanic Gardens

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

<strong>In</strong> <strong>Full</strong> <strong>Bloom</strong> <strong>Scholarship</strong> <strong>Fund</strong>Application FormPlease complete this form electronically and email to registrar@botanicgardens.orgor fax to 720-865-3685 (no cover letter needed).Step 1: Contact <strong>In</strong>formationSchool Name______________________________________________________________________School Address _____________________________________________________________________City _______________________________________________State _______ Zip _______________School District _______________________________________County _________________________Contact Person _____________________________________________________________________School Phone______________________________ Contact Phone ____________________________Contact Email ______________________________________________________________________I am applying for: Program <strong>Scholarship</strong> Transportation <strong>Scholarship</strong>Step 2: Program <strong>In</strong>formationPlease select which program you have signed up for.Guided Explorations: Sprouts Ecosystems of Colorado Name that TreePizza, Pencils and Plants Journey to the Rainforest From Fossils to FlowersScience Lab: Pollination Partners Soil Study Plants 101Discovery Days: Plant Discovery Day Wildflower Week Ecosystem ExplorationCultivation Cruiser: Sensory Adventures Plant Detectives Ecological ExplorationsFlower Power P.S.I. Moldy but Goody Mendel’s MadnessSelf-Guided: (ineligible for Program <strong>Scholarship</strong>s) Discovery Backpack Self-Guided TripDate and Time of Confirmed Program(s): _______________________________________________Number of Programs Scheduled: ______________________________________________________Confirmation # (found on your Booking Confirmation): ____________________________________Application Page 1 of 2


Step 3: Transportation <strong>In</strong>formationComplete this only if applying for a transportation scholarship**You must attach a copy of your bus reservation form.Number of buses reserved for field tip __________________________________________________Estimated cost per bus ________________________________________________________________Make reimbursement check out to (if different than above): ____________________________________________________________________________________________________________________Step 4: Statement of Need/BenefitYou must complete BOTH of these sections.List your school’s Free and Reduced Lunch or <strong>Scholarship</strong> percentage ____________________(Private Schools, please attach information on your scholarship distribution as proof)<strong>In</strong> the space below, describe how the program will benefit your audience.<strong>Fund</strong>ing for <strong>Scholarship</strong>s is provided byFor Office Use OnlyDate Received:___________________________ Date School Notified: ____________________Confirmed Free and Reduced Lunch Participation: _____________________________________Program Percentage Approved: ____________________________________________________Total Program Fees Given: _______________________________________________________Total Mileage Fees Given: ________________________________________________________<strong>In</strong>itials: ______________________081111 Application Page 2 of 2

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!