All overnight and/or out-of-state field trips must be submitted to the Board Office for approval at least three weeks prior to departure.

MAJOR FIELD TRIP

REQUEST FORM

Major Field Trip: A major field trip is defined as more than one day of school being missed. Personal cost beyond any group fundraising should be kept to a minimum. An exception is band, choir, and the foreign language trips in which the maximum net personal cost per student may be higher.

EVENT NAME:

1.Group:

2.Sponsor:

3.Destinations:

4.

Date(s) of Proposed Trip

(check day(s) of week of the Trip)

SMTWTHFS

5.What is the actual time students will be involved in program-related events? (This includes time spent performing, listening to other groups, and participating in program-related activities.)

6.Purpose of Trip:

Of what educational value is the proposed trip? Please include opportunities on this trip that are not available in other less expensive settings as well as opportunities that the location of the proposed trip provides.

7.If the organization proposing the trip has been involved in a major field trip during the past four years, please indicate when and where the group last traveled, the total cost per pupil, and the estimated personal cost for each participant.

8. / Number Attending: / Students / Staff / Other Adults

9.Estimated cost PER STUDENT:

Expense Item / Cost
Transportation: Method:
Lodging
Meals
Other Required Costs:
SUBTOTAL
Expected fundraising subsidy / -
Personal cost per student
Additional recommended spending money

10.What fundraising activities will be conducted to support the proposed trip?

11.What provisions will be made for students in need of assistance?

12.What parent group(s), if any, is (are) expected to support this application including the proposed fundraising activities?

13.Evaluation plans: (educational and personal)

14.Who will submit evaluation report?

Proposal submitted by:Date:

Principal’s endorsement:Date:

DIRECTOR OF CURRICULUM/SUPERINTENDENT

Endorsement of Major Field Trip: Approved Denied

Plan Approved Under the Following Conditions:

Final Plans Due to Principal:

Final Plans Approved by:Date: