Scholarship Application Form

Through a generous grant from the Maurice Romy Foundation, The Mütter Museum is offering scholarships for class visits .

Each scholarship includes:

Middle and high school teachers at schools in Philadelphia can apply for scholarships on behalf of their classes.  Awardess will be chosen based on demostrated student financial need and a statement from the teacher.

Applications are due by November 31, 2008. Award decisions will be made in December of 2008, and vists will take place from January through May.

To apply online, please fill out the following fields (You will receive confirmation of receipt of application within 7 days.  If you do not hear from us, please call 215-563-3737 x203) :

Teacher's Name:

Name of School:

Email:

Phone:

Grade Level:

Subject:

Percentage of Students in class qualifying for free lunches:
Please tell us why a visit to the Mütter Museum would be beneficial to your class (limit 500 words):