Trip Request Form

Trip Request Form Must be received in Transportation Office 14 days prior to event FACILITATOR PROCEDURES (Check box when item completed)

 Complete the Trip Request Form information below.  Attach list of participating students and/or adults and submit to Principal/Supervisor for approval. Notified with attached student list:

 Principal/Supervisor

 Transportation Supervisor

 School Nurse

 Kitchen Manager

 

If you haven’t received an email confirmation at least five days prior to your trip, CONTACT TRANSPORTATION SUPERVISOR! Date of Application: _________________________

Date(s) of Trip: _____________________________

Objective of Trip: _________________________________________________________________________ Destination: _______________________________________________ Grade(s): ______________________ Code To:  Athletics  Building Field Trip  Hi Cap

 FBLA  FFA  SPED

 ASB  Band/Choir  GEARUP

 OTHER (Workshop, training, etc…) _____________________________________________________________________

Name(s) of Participating Staff members: _______________________________________________________ Staff member designated to carry medications: ______________________________________________ Estimated # of STUDENTS: ___________________ Estimated # of ADULTS: _______________________ Number of Buses Requested: ___________________ or Suburban Requested: ________________________ Equipment to be transported: ________________________________________________________________ Lunch Arrangements  No

 Yes ________________________________________________________

Field Trip loading and unloading will take place in designated bus loading and unloading zones. Time of Departure from District/School: _________ Departure Time from Destination for Return Trip: __________ Time of Return to District/School: _________

Approved by: Principal/Supervisor_____________________________________________ Date: ________________ Transportation Supervisor________________________________________ Date: ________________ If applicable, Superintendent:_____________________________________ Date:________________

Transportation Office Use ONLY

Approximate Mileage: _______________ Driver Name: _______________________________________________________________________ 

Revised 3/29/2016

PROCEDURES AFTER ADMINISTRATOR APPROVAL TRANSPORTATION REQUIRED: 1. School Bus/Suburban: Forward the original of the Trip Request Form to Transportation Supervisor [email protected] . a. Information will be entered on the Transportation calendar in Outlook. b. Trip confirmation will via Calendar Invite to the Originator, Principal, Transportation Supervisor, School Secretary, School Nurse, Activities Coordinator, and Kitchen Manager, if applicable. 2.

Other forms of student travel: (such as air travel, public transit, etc...) require approval from both the Superintendent and Transportation Supervisor. a. Forward the original request, with attached student list, to the Superintendent’s office for approval. b. After Superintendent’s approval, forward the original form, with attached student list, to the Transportation Supervisor.

3.

After all needed signatures are acquired, forward the original form to Carman Gerking [email protected] to file.

NO TRANSPORTATION REQUIRED (walking): 1. After approvals, scan or forward through interoffice mail the signed Request form and student list to the School Nurse. 2. After approvals and if lunches are needed, scan or forward through interoffice mail signed Request form and student list to your Kitchen Manager. 3. Send original Request to Carman Gerking [email protected] for calendar scheduling. Trip information can be found on the Transportation Calendar.