Bus Scholarship Application

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.

Please be sure you have reviewed our program guidelines here before applying. Then, fill out the form below. A member of our staff will reach out to you once your application has been reviewed.

Teacher First and Last Name

Teacher Email

School Name

Title I School?

School Phone Number

School Mailing Address

City

State

Zip Code

Confirmed Date of Trip

Number of Students Attending

Requested Reimbursement Amount (up to $400)

Name on Reimbursement Check

Address

Address 2

City/Town

State/Province

Zip/Postal Code

Country

Preferred method of reimbursement:

Mailed check

In-person check pickup at ESPHS

Electronic payment via bill.com

Please select one method of reimbursement.