Bus Grant Application

2405 Calumet Ave. Hammond, IN 46320
(219) 853-2420

Any Lake County, Indiana School or group can be reimbursed for bus fees up to ___ one time per school year.
All groups must provide proof of payment or other documentation showing costs incurred.
Checks will be made payable to the school or group within one month of documentation received by LCSWMD

I understand that my group must be a Lake County, IN school or group to qualify. *

Applicant School Name *

School Address *

City / State *

Name of Principal or Dean *

Phone *

Email *

Contact Teacher Name *

Phone *

Email *

Grade Level *

No. of Buses *

I understand I am responsible for making all bus arrangements prior to my field trip. *

Date of Field Trip *

Date of Field Trip (if more than one day)

Date fo Field Trip (if more than one day)

Total Number of Students *

Total Number of Buses *

Description of Field Trip *

By typing in your name and clicking “submit” below you certify that you are the person authorized to testify as to the accuracy of this application

Signature *