Travel Request (NSCISD)
A request for approval shall be submitted to the office of the principal at least TWO WEEKS prior to the date of the proposed trip. Specific planning shall not be made until the trip is approved using this form.
* Required
Email address
*
Your email
Type of travel
*
Professional (Staff development, workshops, etc.)
Instructional (Field trip)
Your Last Name
*
Your answer
Your First Name
*
Your answer
Additional Travelers
Your answer
Position
*
Your answer
Date of Request
*
MM
/
DD
/
YYYY
Your Supervisor
*
Choose
Dr. Wendy Fuller <fullerw@nixonsmiley.net>
Anita VanAuken <vanaukena@nixonsmiley.net>
Lundy Atkins <atkinsl@nixonsmiley.net>
Michael Duffek <duffekm@nixonsmiley.net>
Jane Dwyer <dwyerj@nixonsmiley.net>
Dr. Cathy Lauer <lauerc@nixonsmiley.net>
Date of Activity (single day)
MM
/
DD
/
YYYY
Dates of Activity (multiple days)
Your answer
Name of Activity
*
Your answer
Sponsored by:
Your answer
Location
*
Your answer
Time of Departure
*
Time
:
AM
PM
Time of Return
*
Time
:
AM
PM
Benefit of attendance to the district or instructional objective
*
Your answer
Total estimated cost to district. (Purchase order must be submitted for appropriate expenses. This may be added by a supervisor)
Your answer
Budget Code (This may be added by a supervisor)
Your answer
Travel advance requested? (If yes, enter amount in "Other")
*
Yes
No
Other:
Required
Number of students involved
*
Your answer
Names of persons accompanying students
*
Your answer
Transportation Request (Note: Travel reimbursement is subject to denial if the employee does not request a school vehicle)
*
Bus
Expedition
Car
Truck
None
Required
Total number of passengers
Your answer
Additional Instructions / Comments
Your answer
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