2019-2020 Field Trip Request Form
Instructions

Complete all required fields. Requests must be made NO LATER than two weeks prior to your trip! If it is less than two weeks, please contact Carol Brokaw-Burry directly.

This form will populate a Google Doc Field Trip Request Form that will be shared with you, your supervisor & your building secretary. Your supervisor can then approve the trip and share the document with Carol Brokaw-Burry

Transportation will print your approved request and send email confirmation to you (Requester), the Principal and your building secretary.

Revised 7/8/19

Email address *
Supervisor Email Address
Your answer
Secretary Email Address
Your answer
Name of Requesting Staff Member *
Your answer
Other Supervising Teacher(s) *
Please list all supervising teachers on the trip. You do not need to list the Requestor again. Separate all names with a comma.
Your answer
Type of Field Trip *
Date of Trip *
**NOTE: If your trip occurs on multiple different days, please fill out a separate form for each day that you need a ER driver & bus.
Your answer
Number of Students *
Your answer
Number of Adults *
Your answer
Number of Buses *
Buses can carry 76 passengers
Your answer
Do you need a bus with storage compartments? *
Departure Point *
Typically, this is one of the school buildings. Also note which door you'd like to be picked up at.
Your answer
Departure Time *
Time
:
Destination #1 *
If this is your Final Destination, please list it here.
Your answer
Destination #1 Address *
Your answer
Destination #1 Info *
List any different dates/times needed for the transportation department. Otherwise, type "none"
Your answer
Destination #2 *
If there are no other destinations, write "none"
Your answer
Destination #2 Address *
Your answer
Destination #2 Info *
List any different dates/times needed for the transportation department. Otherwise, type "none"
Your answer
Destination #3 *
If there are no other destinations, write "none"
Your answer
Destination #3 Address *
Your answer
Destination #3 Info *
List any different dates/times needed for the transportation department. Otherwise, type "none"
Your answer
Pickup Time for Return Trip *
Your answer
ETA Back at School *
Your answer
Estimated Round Trip Mileage *
Your answer
Do you require the Driver to stay with you and the students? *
Estimated Time of Entire Trip *
Please indicate time in hours (.5 = 1/2 hour or 2.5 = 2 1/2 hours)
Your answer
Please add .75 hours to the above time for Driver pre/post trip. What is the Total Trip Time? *
____ hours above + .75 =
Your answer
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