POCONOMOUNTAINSCHOOL DISTRICT

EDUCATIONAL TRIP FORM

Permission is requested for ______in grade _____ to participate in the educational trip described below.

This request is made pursuant to the Board policy on educational trips.

Please complete the form below.

TRIP DATES: From: ______To: ______

TRIP DESTINATION: ______

DESCRIPTION OF THE EDUCATIONAL VALUE OF THE TRIP:

______

______

______

TRIP CHAPERONE (S) ______

I have read the educational trip policy and believe that the trip described above meets the requirements of this policy.

______

Parent’s SignatureDate

Teacher Name Trip Recommendation Comment

______Recommend Not Recommend ______

______Recommend Not Recommend ______

______Recommend Not Recommend ______

______Recommend Not Recommend ______

______Recommend Not Recommend ______

Principal’s Decision Recommend Not Recommend

Principal’s Signature______

EDUCATIONAL TRIPS

Students may be excused from attendance to participate in non-school district sponsored educational trips.

To be eligible under this section, the students’ parent/guardian must make written application on the form provided to the district at least three (3) days prior to the trip.

The principal will review the form. The student’s attendance record, the student’s previous trips, the educational value of the trip and the teacher recommendations will all be taken into consideration.

No student may spend more than a total of five (5) school days on approved educational trips in any given school year.

Failure to get pre-approved for an educational trip will result in the absences for the trip being declared unexcused and where appropriate unlawful.

The student is expected to makeup the work missed while absent.

The student may also be required to provide the building principal a written account describing what was learned during the educational trip. The written account must be at least one page in length. Failure to provide the written account within five (5) days of returning to school will result in the absence being declared unexcused or unlawful.

For elementary students who are unable to provide such written statements, an oral statement or discussion with the teacher or principal may be used. (11.26).

Summary Account Form

(This form is to describe your trip. Please tell us in detail what you did on your trip and what you learned. This form is to be submitted to the Assistant Principal’s office by the 5th day of your return to school or your absence(s) may be declared unexcused or unlawful).

Student’s Signature______Grade ______

Date of Submission ______