Field Trip Request Form
Field Trip Request Form Park Avenue Elementary
Meekins Middle School
Jr. High School
High School
This form must be completed and submitted to Central Office at least 10 business days prior to trip. Teacher/organization making request Date of trip
Departure time
Number of students attending Type of Transportation:
Return time
Number of sponsors/teachers attending
Bus
Van
Car
Equipment Van
Purpose of trip:
Preparation for trip (instructional)
Activities after trip (instructional)
Cost per student
Cost per sponsor
Teacher’s Signature
Funded by:
District
Other
(Name of Organization/Group)
Date
Approved Denied
Principal’s Signature
Date
Approved Denied
Superintendent’s Signature
Date
Once approved by Principal and Superintendent, forward a copy to Director of Transportation.
Stuttgart School District 2501 South Main • Stuttgart, AR 72160 Phone 870-673-3563 • Fax 870-673-7337 Board Approved 6/11/2013
Meekins Middle School
Jr. High School
High School
This form must be completed and submitted to Central Office at least 10 business days prior to trip. Teacher/organization making request Date of trip
Departure time
Number of students attending Type of Transportation:
Return time
Number of sponsors/teachers attending
Bus
Van
Car
Equipment Van
Purpose of trip:
Preparation for trip (instructional)
Activities after trip (instructional)
Cost per student
Cost per sponsor
Teacher’s Signature
Funded by:
District
Other
(Name of Organization/Group)
Date
Approved Denied
Principal’s Signature
Date
Approved Denied
Superintendent’s Signature
Date
Once approved by Principal and Superintendent, forward a copy to Director of Transportation.
Stuttgart School District 2501 South Main • Stuttgart, AR 72160 Phone 870-673-3563 • Fax 870-673-7337 Board Approved 6/11/2013
