Minnesota Zoo 2017-2018 Flint Hills Overnight Program

Application Form

The Flint Hills Overnight Program is available for school of all grade levels located outside of the seven-county metro area. Funds provided include bus transportation, school overnight program, Imax movie, meals and Zoo admission.

Please fill out the following information and send electronically, print and mail or fax.

Email to: specify Flint Hills Overnight in the subject line

Mail: Minnesota Zoo, Education-Zoo Explorers Fund, 13000 Zoo Boulevard, Apple Valley MN 55124.

Fax: 952-997-4838. Questions phone: 952-431-9218

School Name School District Number
Teacher Name Teacher E-mail
Day Phone Best time to contact you
Other attending teacher and email
School Address
County
Number of students
Grade
% of Students in school qualifying for Free Reduced Lunch
Number of total Teachers & Adults attending
Estimate of total bus cost required for grant submission
Bus Company Name and Address
Number of buses
School/District Federal Tax ID number required for bus payment
State Tax ID number required for bus payment
Overnight Trip Dates (you must select 3) Please look at the available dates on our website mnzoo.org/education/schools-teachers/school-overnights/
1) 2) 3)
Time arrival/ departure:

Please answer the following question:

Has yourclass and /or school participated in theFlint Hills overnight program in the past? YES NO

If “YES”, when?

Please describe how you will take advantage of the educational objectives of the overnight program to enhance or integrate into your existing curriculum.(one paragraph)

Instructions:
  1. After completing this form email it to specify Flint Hills Overnight in the subject line. Or mail to Minnesota Zoo, Education Dept.-Zoo Explorers Fund, 13000 Zoo Blvd, Apple Valley, MN 55124 or fax to 952-997-4838.
  2. If you receive a grant you will be notified as soon as the application is approved.
Note, your date has not been confirmed until your receive a confirmation.
  1. After your date is confirmed, please call your bus service as per your buildings procedures to request transportation. Let them know this is with the ‘Flint Hills Overnight Fund to the Minnesota Zoo’ and that you will need a final bill following your field trip to submit to the Zoo.
  2. I understand that if awarded this grant, I will arrange transportation with the bus company and my school/district will be responsible for paying the bus company directly. After the field trip to the Zoo, I will submit to the Zoo a completed Zoo invoice, which came with the field trip confirmation, along with a copy of the bus company bill by May 15, 2018. The Minnesota Zoo will reimburse the school/district by electronic fund transfer for the transportation costs in the amount of the grant award, or the final amount on the bus company invoice, whichever is LESS.I agree
  3. You will receive an email with the trip schedule and other information.
  4. Call the Education Department at the Zoo with any questions (952)431-9218.
  5. When you arrive, be prepared to check in with the number of students and adults.
  6. This grant is provided with generous support from the Flint Hills Corporation. We would appreciate thank you notes following your field trip. Please address them to the Flint Hills Corporationand send them to Minnesota Zoo- Education, 13000 Zoo Blvd., Apple Valley, MN. 55124.
  7. The information I have provided on this form is correct. I understand that all information is kept strictly confidential and has been requested for the sole purpose of establishing financial need. All scholarships are awarded on a need-basis only and availability of funds. I will submit the forms required following the field trip for transportation costs. I agree
Signature lead teacher: Date:

Minnesota Zoo – Education Department 13000 Zoo Boulevard Apple Valley, MN 55124

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