ELS Request for Field Trip Approval

This form must be completed 10 days prior to your trip.

If approved, your Program Administrator will forward the necessary information to Transportation within 7 days of the field trip.
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Email *
Name *
What is the name of the teacher requesting the field trip?
School or Site *
From what school or site will the field trip originate?
Date of Activity *
Time Leaving *
Time Picked up from site *
Destination *
What is the destination of the field trip?
Destination Address
If available, please provide the destination address.
Number of Staff *
How many staff members are needed for this field trip?
Students Using Seats *
How many students attending the field trip will need typical seating?
Students Using Wheelchairs *
How many students attending the field trip will use wheelchairs?
Passenger Total *
What is the total number of passengers for the suggested field trip (including both students and staff)?
Buses
Please indicate the quantity and type of bus needed for the suggested field trip.
Septran Lift Bus *
Septran Suburban *
Wheeling Septran Large Bus *
Septran 16-Passenger *
Septran 28-Passenger *
District Large Bus *
District Lift Bus *
303 Lift Van *
303 Taxi *
Notes
Septran can only transport field trips between 9:30 AM and 2 PM.

Septran Suburbans hold 7 passengers.
Septran lifts hold 3 wheelchairs and 6 riders.
Large buses hold 20-72.  
All septran vehicles besides the 20-72 passenger buses have AC.
303 lift vans hold 1 wheelchair and 2 riders or 2 wheelchairs and 2 riders

Relevance *
Please describe the suggested field trip's relevance to ELS curriculum.
Students *
Please list for all students attending the suggested field trip the following information: student name; student home district; type of vehicle needed to transport student; and if the student uses a wheelchair.
A copy of your responses will be emailed to the address you provided.
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