Questions marked with a * are required Exit Survey
 
 
2017 - 2018 Connect Kids Transportation Grants Program Application
 
 
 
School or Youth Service Information
(New York State Public Schools and Selected Youth Service Agencies ONLY)
 
 
 
* Teacher/Youth Group Leader:
   
 
 
* Email Address - please be sure to check this email for important grant paperwork
   
 
 
* Verify Email Address
   
 
 
* Public School/Youth Center Site Name  : 
* Name of Public School District  OR Youth Center Administration Office -  : 
* Address Line 1 : 
   Address Line 2 : 
* City : 
    * State     * Zipcode
 
 
New York State Vendor ID Number (ten digit number)
   
 
 
 
Field Trip Information
 
 
 
* Destination** :
   
 
 
 
* Field Trip Date, applications must be received at least two weeks before field trip is scheduled.
Field trips must occur BEFORE June 30, 2018:
MonthDayYear
  
 
 
* Field Trip Site Contact Name (must be a staff member from the field trip location ):
   
 
 
Program Time:
   
 
 
* Guided Program
 
Yes
 
No
 
 
 
* Type of Transportation Provider to be used:
 
Private Provider
 
School District Bus
 
No Bus Needed
 
 
 
* Grade:
 
 
 
* Approximate Number of Students:
   
* Approximate Number of Adults:
   
 
 
 
Schools must adhere to the site's ratio of students to adults.

 
For additional questions, please contact Susan Carver.

** 
Check out the complete list of approved field trip destinations.