VCSC Elementary Field Trip Proposal
Consideration may be requested using this form for off campus learning experiences when they meet standards in a way that would not be possible in the traditional school setting. 

Please note that:
-Only 5th grade trips will be considered for extended day trips, whether using school buses or other.
-The time at the destination should be longer than the total travel time. 
-Upon completion of this form, it will be routed to your principal for first approval before being presented to the Director of Elementary Education for final approval. 
-The lead teacher, whose email is required in the form, will receive notification of the decision. 
-If your proposal is approved, please know that this does not include a transportation request. If using VCSC buses, use this Activity Transportation Request at lease 3 weeks in advance. 
-Cafeteria manager must be notified 2 weeks in advance that students will be absent from lunch or that sack lunches are requested so that they may adjust their food order quantities or items.
Email *
School Name *
Lead Teacher Email *
Grade Level *
Name of Teacher(s) planning and attending proposed field trip? *
Date of Proposed Field Trip *
MM
/
DD
/
YYYY
Location Name and Address *
Title of Trip *
What Indiana Standards does this address for your grade level and how is the trip connected to the standards? *
Describe the educational activities that will occur at the destination. You may link a longer document in addition to answering this question here if helpful. *
Mode of Travel *
Funding Source *
Anticipated Ratio Students to Staff *
Other Chaperones Allowed; may include: (parents, EAs, other) *
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