Project Orangutan Scholarship Form

To request a scholarship for a Phoenix Zoo Project Orangutan program, please complete the form below. Within 3 business days, someone from our Call Center will confirm scholarship eligibility and then contact you by email to confirm program availability or request alternate dates/times. Once your program is confirmed we’ll schedule a time to call you to receive payment. Questions? Email outreach@phoenixzoo.org

Name*
First Last
Email*
Phone*
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name of School*
Name of District*
Grade of Students*
What date would you like to start Project Orangutan?*
The ZooReach scholarship includes one 30-minute live, virtual check-in with a Phoenix Zoo educator which we recommend during week 5. Would you like to schedule a second 30-minute live, virtual check-in (during a different week) for an additional $50?*
Would you like to add a 15-minute, live virtual Animal Encounter to any of your live, virtual check-ins? (additional fee of $50 for each session)*
If you answered yes to the previous question, how many 15-minute virtual Animal Encounters would you like to add?
The scholarship covers a maximum of 40 students. Would you like to add more students for an additional $1 per student?*
If you answered yes to the previous question, how many additional students would you like to add?
Would you like someone from the Zoo to contact you about purchasing any other programs for your school?*
If you answered yes to the previous question, what email and phone number would you like to be contacted at?
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Project Orangutan Scholarship Form

Project Orangutan Scholarship Form