Overnight Trip Request

Overnight Trip Request

We would like to kindly remind you of the importance of completing this form with as much detailed information as possible. Your thorough input is crucial to ensuring accurate and efficient processing. Unfortunately, incomplete form will not be processed at all.
School Information
School/Campus*
Full Name of Teacher Requesting Trip*
Teacher Position*
Grade and Sections Attending*
Trip Details
Is this trip local or international?*

LocalInternational
Departure Date*

MonthDayYear
Date
Return Date*

MonthDayYear
Date
Number of Nights*
Destination*
Total Number of Student Attending*
Total Number of Staff Attending*
Total Number of Chaperones Attending*
Provide a brief description of the trip and purpose*
Cost Information
Estimated Total Cost of the entire trip (Hotel, Food, Activity, etc.)*
Estimated cost per student*
Estimated cost per staff member:*
Estimated cost per volunteer parent/guardian chaperone:*

Breakdown*

	Amount per person	Total # of persons
Package
Accommodation - Staff
Accommodation - Student
Accommodation - Chaperone
Meals - Staff
Meals - Student
Meals - Chaperone
Transportation - Staff
Transportation - Student
Transportation - Chaperone
Admission Fees - Staff
Admission Fees - Student
Admission Fees - Chaperone
Other (please specify) - Staff
Other (please specify) - Student
Other (please specify) - Chaperone

Total Cost*
How is this trip being funded?*

FundraisingMoney Collection
How is this trip being funded?*

FundraisingMoney Collection
FUNDRAISING: How much money has been or will be raised?*
FUNDRAISING: Describe the different fundraising methods*
MC: How much is being collected from the families per student?*
Are you requesting subsidy from iLearn Schools Central Office?*

NoYes
What are you asking assistance for?*
How much are you requesting?*
Departure Information
Mode of Transportation*

AirLand
Name of Airline*
Land*

Yellow BusCoach Bus ((Please note that iLearn Schools will only fund the cost of the yellowschool bus, and the price difference for a coach bus will be the responsibility of the school.)
How many buses are you requesting (Yellow bus can accommodate up to 53 persons).*
Departure Date & Time*

MonthDayYear
Date
Hour MinutesAM/PM Option
Departure Location*

Street Address

Street Address Line 2

CityState

Zip Code
Return Date & Time*

MonthDayYear
Date
Hour MinutesAM/PM Option
Return Location*

Street Address

Street Address Line 2

CityState

Zip Code
How are you paying for the bus price difference?*
Lodging Information
Date*

MonthDayYear
Date
Name of Place*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.

Proposed Itinerary*

LIST OF STUDENT PARTICIPANTS*

LIST OF STAFF CHAPERONES*

LIST OF VOLUNTEER PARENT CHAPERONES*

List of Students Who Require Medical Needs*

School Information