Eastern State Penitentiary offers scholarships to reimburse the costs of transportation (up to $400) for qualifying K - 12 schools in the Philadelphia area. Applications must be received at least 2 weeks prior to the scheduled visit. Failure to submit the application in advance will disqualify the school from participating in the program.

Teacher First Name

Teacher Last Name

Teacher Email Address

Teacher Phone Number

Group Tour Confirmation Number

Is this a Title I school? YesNo

School Name

School Phone Number

School Mailing Address

City

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Zip Code

Confirmed Date of Trip

Number of Students Attending

Requested Reimbursement Amount