Application for Group Fee Assistance

Explorit Science Center

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Application for Group Fee Assistance

Explorit offers a limited number of free or reduced fee programs. Call 530.756.0191 for more information on fee assistance opportunities or use the form below.

Teachers, principals, after school program providers and even parent representatives are welcome to apply. Both full and partial scholarships are available for schools or groups demonstrating financial need. Applications are reviewed on a rolling basis, so don't delay in filling out our easy to use online form. Reservations for our fee assistance programs are restricted by availability and must be made by you seperate from this application process. Programs do fill up so we encourage you to send in your application soon and make your reservation once you receive notification.

Application Form

Part A: Applicant Profile
Contact Person Name and Title:
School or Organization Name:
Street Address (including city, state, zip):
Contact phone number (with area code)
Contact fax number (with area code)
Contact e-mail

If you are a Non Profit: briefly describe the following:
Your mission:
Your audience:
If you are a School or District: provide the following:
District name:
% Free or reduced lunch:
% English language learners:
% Student enrollment by ethnicity:
African American
American Indian or Alaskan Native
Asian American or Pacific Islander
Hispanic or Latino
White (not Hispanic)
Other

All Applicants: complete the following:
Language(s) spoken by your students/audience
% of budget spent on science education last year
Other financial assistance received for science education (indicate amount and agency
Please indicate the type of school/group program(s) you would like with date(s) of interest for each one:
Family Science Nights:
Science In Your World
Health In Your World
Field Trips:
Discovery Lesson
Discovery Lab
Nature Safari at Mace Park Branch
Nature Lab at Mace Park Branch
Classroom Programs
Classroom Adventures
Young Scientist Series
Science Assemblies:
Journey Through the Human Body
Teacher Workshops:
Nurturing Inquiry
Getting Physical
Into the Earth
Life Skills
Please check the programs you are interested in but for which you cannot yet select a date:	Family Science Nights Science In Your World Health In Your World Field Trips Discovery Lessons Discovery Lab Nature Safari Nature Lab Classroom Programs Classroom Adventures Young Scientist Series Science Assemblies Journey Through the Human Body Teacher Workshops Nurturing Inquiry Getting Physical Into the Earth Life Skills
Part B: Need and Impact
Why do you require the fee assistance:
What do you hope your school/group will gain from this program?:
How do you expect to integrate this program into the curriculum/organizational mission?:
Part C: Applicant Certification
We certify that the information provided on this form is true and correct. We understand that this information will be reviewed by Explorit representatives and additional information may be requested. Provision of false information will result in disqualification from the fee assistance program. A limited amount of scholarships are available each year. Awarding of scholarships is limited by funding and program availability.
Director or Principal Name and official title
Part D: Follow-up Contact Information
Once we have reviewed this document, we may contact the applicant for a follow-up phone discussion. Please provide the following information:
Day(s) of the week and time(s) that contact is available for follow-up phone discussion::

Fee Assistance Committee
Explorit Science Center
P.O. Box 1288
Davis, CA 95617
Phone: 530.756.0191
Fax: 530.756.1227