Field Trip STEAM Scholarship Fund Application

"*" indicates required fields

School/Organization Information

School/Organization Name*

School District*

write N/A if not applicable

County Name*

write N/A if not applicable

School/Organization Address*

Street Address Address Line 2 City State ZIP Code

Contact Name*

First Last

Contact Phone*

Contact Email*

Has your school or organization received scholarship funds in the past?*

Yes

Unsure

Please state the year, amount, and use of the funds.*

Student Grade Level(s)*

Science Topics Taught*

Percentage of students eligible for free/reduced lunch in your school*

Percentage of students eligible for PA Child Care Works Subsidy*

For childcare facilities only, write N/A if not applicable

Essay Questions

How will your students benefit from the program? (250 words or less)*

0 of 1750 max characters

What are your school or organization's goals and how will the program you are requesting support the outcomes you work towards? (250 words or less)*

0 of 1750 max characters

Describe what is done in your classroom to inspire the exploration, understanding, and appreciation of science, technology, engineering, art, and math (STEAM) in your students.*

How can Da Vinci Science Center support your school or organization's STEAM curriculum and planning efforts?*

Group Visit Request

Type of request (select all that apply)*

Summer Group Visit, No Traveling Exhibit (June 9-Sept. 1)

Summer Group Visit + Traveling Exhibit (June 9-Sept. 1)

Please note: 2025-2026 school year field trip options are coming soon.

Summer Group Visit (No Traveling Exhibit)*

Price:

$15.00 per person

Total number of adults & students for your Summer Group Visit (No Traveling Exhibit)*

Summer Group Visit + Traveling Exhibit*

Price:

$20.00 per person

Total number of adults & students for your Summer Group Visit + Traveling Exhibit*

Number of students attending your trip*

Number of adults attending your trip*

Preferred date(s) and arrival/departure time(s) for your trip*

Additional Information

Comments/Questions?

Total

By checking this box, you acknowledge that all of the above information is accurate and that the funds will be used as indicated here.*

Acknowledged

Date*

Name

This field is for validation purposes and should be left unchanged.

Support Us

Your support will help us bring science to life and lives to science in so many ways — including our exhibit experiences, academic and visitor programs, professional development for educators, and our new facility.