Field Trip and/or Transportation Request
Employee Name
*
Building
*
Throop
Jr-Sr High
Class or Group
*
Type of Activity
*
Activity/Trip DURING School Hours
Activity/Trip NOT During School Hours
Other
# of Students
*
# of Adult Chaperones
*
Describe A) What students will be doing and experiencing on this trip; B) How students' learning will be increased as a result of the trip; and, C) Learning activities before and after the trip that will further connect classroom learning to their field trip experience
*
Transportation Requested
*
Full Size Bus(es) With Driver(s)
Mini-bus(es)
NONE
Other
Name AND Address of Destination(s)
*
Departure Date & Time
*
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Month
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Day
Year
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Hour
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05
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15
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25
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45
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55
Minutes
AM
PM
AM/PM Option
Return Date & Time
*
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Month
-
Day
Year
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:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
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