2016-17 Field trip Approval Request
Teacher Name
Your answer
Course/Activity attending Field trip
Your answer
Date of Field Trip
MM
/
DD
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YYYY
Is the date of the field trip fixed or flexible?
If flexible what other date options?
MM
/
DD
/
YYYY
Destination (City, State)
Your answer
Purpose of trip - Please identify how this field trip will be supporting or supplementing your classroom curriculum. What are the learning objectives?
Your answer
Number of Students Involved and Grade Level
Your answer
Which class periods will be missed?
Required
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