Please Complete This Form

Bus Grants

Those awarded transportation reimbursement grants must submit a copy of bus or transportation expenses following the field trip to Center staff. Once received, reimbursement for the awarded amount will be processed and mailed to the school.

School Name *

Primary Contact Name *

Email *

Phone *

School Address (Full Mailing Address) *

School District (or County) *

Name of Teacher(s) *

Grade Level(s) *

Number of Students *

Number of Chaperones *

Date/Time of Museum Visit (if scheduled) *

Which Exhibit, Matinee or Program Are You Looking to Attend? *

Number of Buses Needed *

Please provide an estimate of transportation costs, for consideration *

Answering the following will not exclude you from consideration

Have you ever before brought a class to Midland Center for the Arts? *

Yes No

If yes, when?

What advantages will these funds provide? *

If approved for bus cost reimbursement we will mail the reimbursement for shortly after the field trip. Please provide the name, address, phone number and email address of your transportation director.

Transportation Director Name *

Transportation Director Address *

Transportation Director Phone *

Transportation Director Email *

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Bus Grants