Group Scholarship Form

Museum of Glass is honored to have the support of donors and grantors as we provide scholarships for visiting school groups. Funds are limited, so priority is given to schools outside of the Seattle-Tacoma region and to schools with larger populations of students eligible for free or reduced priced lunches. Awards may be a percentage of the total cost.

Please complete the scholarship form below. If you have questions, contact Elisabeth Emerson at 253.284.4713.

Date

MM

DD

YYYY

Name

First Name

Last Name

School/Institution

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

(###)

###

####

Percentage of free/reduced price lunches:

Tell us about your group

Number of Students:

Number of Teachers/Chaperones:

Are you interested in Science of Art or a standard School Tour

Estimated Busing Costs:

Estimated Admission Costs:

Tours: $6/student Science of Art: $8/student Teachers and chaperones admission rates are $6 per person. Bus drivers are admitted free of charge.