USS Hornet STEM Scholarship Application

USS Hornet STEM Scholarship Application

Read and follow the instructions carefully prior to submitting your application. All winners will be notified at least two (2) weeks before requested visit.
Contact/Teacher Information
Applicant's Full Name*

PrefixFirstMiddle NameLastSuffix
E-mail*
Please indicate correct E-mail address, as your confirmation for scholarship eligibility will be sent to this address.
Daytime Phone*

Area CodePhone Number
Mobile Phone

Area CodePhone Number
Fax

Area CodePhone Number
Other Phone

Area CodePhone Number
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
School Information
School Name*
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
School Phone*

Area CodePhone Number
School Mobile Phone

Area CodePhone Number
School Fax Number

Area CodePhone Number
School Email Address
Grade Level
Program Choice
Why is STEM important to your Class?
Have you made a field trip reservation already?

YesNo
Has your class visited before?

YesNo
Extras
Is Your School Located in the East and Greater East Bay?

YesNo
Do the majority of your students come from a lower economic background?

YesNo
Do you currently participate in other STEM field trips outside of the USS Hornet?

YesNo
Do you have a relationship with anyone affiliated with the USS Hornet Museum?

YesNo
Essay

Your essay should be 100-500 words. You should address in your essay: Why your school is in need of a STEM scholarship?
Essay

0/500
Approx. No. Students*
Date and Time Requested 1*

MonthDayYearHourMinutesAM/PM Option
Date and Time Requested 2

MonthDayYearHourMinutesAM/PM Option
Date and Time Requested 3

MonthDayYearHourMinutesAM/PM Option
Feedback
Where did you hear about the USS Hornet Museum's Education Programs?

Museum FlyerWebsiteNewspaperAnother GroupFriendOther
Notes
Applicants E- Signature

By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature*
Submit Application
USS Hornet Museum is committed to equal opportunity in employment and education. The Museum does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
Privacy Policy

The Aircraft Carrier Hornet Foundation (ACHF) is committed to protecting your privacy. We do not share our mailing list with any other businesses or organizations. Your information will be kept private and confidential.
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USS Hornet STEM Scholarship Application

Contact/Teacher Information

School Information

Extras

Essay

Feedback

Applicants E- Signature

Submit Application

Privacy Policy