Mt. SAC – RANDALL PLANETARIUM

Reach for the Stars Program Application

This is the application for the Reach For The Stars program, which covers the cost of a field trip, including the cost of bussing, to the Mt. SAC-Randall Planetarium.

Schools determined to have the most need and can make the most of this opportunity will be selected for this program. Please fill out the application below to be considered for this opportunity (only one application per grade level please). Please submit the completed forms by the November 21, 2014 deadline. Thank you!

Special thanks to Jim and Eleanor Randall and Southern California Gas Company for their generous support of the Reach for the Stars program!

* All School and Contact Information is required

School Information

Grade Level:

School District:

School Name:

School Address:

City: State: Zip Code:

Contact Information

Contact Name:

Phone Number: (example: 909-274-7500) Ext:

Contact E-mail:

Is your school a Title 1 school? Yes No

What percentage of your student body receives free/reduced cost lunches?

Estimate the bussing cost for a 2.25-hour field trip to the planetarium for students and adults that will be attending.

*If chosen as a Reach for the Stars recipient, your travel reimbursement will not exceed this amount. Please double–check your estimates with your district's transportation department.

Show Preferences

Preferred Show:

For more information and show descriptions, please click here.

Event Information

Number of Students attending: Min: 25 | Max: 150

Number of Adults attending:

Do you have any special needs or requests?

In 400 words or less, please describe why your school should be a recipient of this grant:

Type both words in the space. Click the double-arrow icon to change the words. Click the sound icon to hear the words.

The Mt. SAC - Randall Planetarium Logo
 
 
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