FIELD TRIP SCHOLARSHIP APPLICATION

Please complete the following form and submit all requested information. Please note this field scholarship form is specifically for the Reagan Leadership Center Operation Urgent Fury or Operation KAL 007 experiences. THIS COMPLETED APPLICATION DOES NOT GUARANTEE YOU A FIELD TRIP SCHOLARSHIP. You will be notified via email if you are granted a field trip scholarship.

If your group is granted a field trip scholarship, you are required to submit the following:

All pre-visit materials must be received prior to your visit for us to authorize payment for your field trip to the Reagan Leadership Center.
Complete a culminating class project. Examples of culminating class projects include thank you cards, photo collage of trip highlights, link to a video created by class relating to visit, etc.

Contact First Name:

Contact Last Name

Position/Title:

Contact Phone Number:

Contact Email:

School Name:

Date of Visit:

School District:

School Address:

School Phone Number:

Type of School:

Type of School Other:

Are you a Title 1 School?

YesNo

How many students will be in your group?

How many groups are you registering?

Type of Visit:

VirtualOn-site

As the group leader, briefly describe your group's need for a scholarship. (100 words or less)