School Access Support Application

Fields marked with an asterisk (*) are required.
Applicants must serve students in grades K5-12 and report data to the Wisconsin Department of Public Instruction (DPI).
Schools with an Economically Disadvantaged rating of 70% or higher are eligible to apply.
Submission of an application does not guarantee funding approval. Applications are reviewed on a first-come, first-served basis. Funding is limited. You will be notified of a decision within 15 business days of submission via e-mail.

School Information
School Name*
School Address*
Street Address City State ZIP Code
School Affiliation*
- Elementary School
- Middle School
- K-8 School
- High School
What is the Economically Disadvantaged rating of your school? Enter in your percentage up to 2 decimal points and without the percent sign.*
Visit https://apps2.dpi.wi.gov/reportcards and use the most recent School Report Card information from DPI. Within your Report Card, find the circle graph and % under the Economically Disadvantaged heading.
I am interested in applying for (select all that apply):*
- Admission Scholarship (reduced student admission fees)
- Bus Scholarship (partial reimbursement after your visit)
Applicant Information
Full Name*
Prefix First Last Suffix
Job Title / Position*
School Contact Phone Number*
Alternate Contact Phone Number*
Email*
Estimated # of Attendees
Estimated # of Students in Each Grade Level
K5
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Estimated or Max # of Adults (minimum requirement is 1 adult for every 10 students attending)*
Other Information
Have you already scheduled your visit for the 2023-2024 school year?*
- Yes
- No
What is your scheduled visit date?*
MM slash DD slash YYYY
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

School Information