Transportation Reimbursement Request Form
PLEASE READ CAREFULLY: Busing scholarships must be requested at least 2 weeks in advance of your confirmed visit date. Busing scholarships are confirmed via email from EDUINFO@cmnh.org; by completing and submitting this form, you are only requesting funds. The Museum is NOT scheduling your transportation. The Museum will consider reimbursement up to $250 per bus, a maximum of 2 buses per school, per visit. Any dollar amount over $250 is your responsibility to pay. Bus invoices must be remitted to us within 30 days of your visit or we will not be able to pay. If you have questions on the form please call us at 216-231-8002.
Your name:
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Address where we should mail the voucher check:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School name and address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date(s) of Visit:
Date of visit
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Month
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Day
Year
Date
Grade(s) of students:
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Number of students:
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Number of buses requesting:
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Please attach a copy of your invoice from your bus company showing how much each bus cost AND a copy of your W9:
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I have attached the copy of the invoice from our bus company and a copy of our W9
Use this website to find the Title I percentage of your school: https://reportcard.education.ohio.gov/ Enter your school name, click on the correct school. At the top of the next page, use the dropdown "School at a Glance" to find "School Detail." The second graph on that page, in yellow, shows the % of students at your school that are classified as economically disadvantaged. Enter that % here:
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Confirm that the data above is accurate.
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