FIELD TRIP REQUEST

FIELD TRIP REQUEST

Please review this Field Trip Planning Packet before applying.
Applicant Info
School: *
Verification of Dept. Chair's prior approval (required for MS/HS only)

Clear
Grade/Program participants: *
Destination: *
Date(s) of Field Trip *
*If there are multiple days for the event, please enter them all

Scheduling
Departure from school: *
Arrival at destination: *
Departure from destination: *
Arrival back at school: *
Number of Students: *
Number of Chaperones: *

Finances
Estimated cost of the entire trip: *
PTO Contribution: *

TRIP COSTS *

	Student	PTO	Total
Buses (Transportation)
Tickets (Admission)
Other:
Totals

Person in charge of these arrangements: *

Plan and Purpose
Person responsible for the learning activity: *
Specific sites to be visited: *
Outline of the planned program to be presented to this group: *
How does this trip complement our curriculum and relate specifically to the content being taught in the classroom? *

Organizer Info
Organizing staff member/person responsible for the learning activity: *
Organizer's PRSD (school) email: *
example@example.com
Organizing staff member signature: *

Clear
FINAL NOTES

SUBMIT YOUR REQUEST EARLY
Complete this form and submit it at least 4 weeks prior to the schedule date for the field trip.
Should be Empty: