home About Our Program  |  Teacher's Corner  |  Special Education Information  |  Gallery  |  Ways to Give  |  Sitemap home > Special Education Information > Basic > Form  Print View Applicant's Name:  School:  Phone:  E-mail:  Number of Students (max. 15):  Number of people requiring a lift bus:  Grade level(s):  Today's date:  How will you integrate the classroom with the field experience?  How will you share this experience with other classrooms?  Describe what program you are interested in and the number of visits you would like funded.  How will you measure student progress?  Describe your students and how they will be directly affected by this project?  What percentage of the cost of transportation (avg. $170/bus) is your school or classroom able to afford, if any?  Do you have approval from your supervisor to apply for this grant?  Yes No [ Finish ]