APPLICATION FOR EDUCATIONAL FIELD TRIP

NOTE: A minimum of 1 field trip per semester per grade is expected. Field trip forms must be received 2 weeks in advance of date to ensure timely approval.

Teachers must complete form and forward to Principal for final authorization. Principal must submit completed form to Associate Superintendent. Incomplete forms will be returned for completion.

School: Hamilton K-2 Hamilton Pre-K Date Submitted: Date of Field Trip:

Departure time from school: Pick-up time from venue: Return time to school:

Destination: Name of destination.

Destination Address: Full address must be provided.

Teacher: Grade: Number of Pupils:

Chaperone(s)- Administrator or Designee must accompany all over night field trips

Name: Position

Total Number of Participants (on bus): Number of people total on bus

Curriculum Alignment (please indicate entire number(s):

GLE: List all GLEs or MO Learning Standard List all MO Learning Standards

Field Trip Goal/Objective Field trip objective

Pacing Guide Lesson Alignment Pacing Guide Alignment

Academic Preparation Activities Preparation Activities

Academic Follow-up Activities Follow-up Activities

Primary purpose of this field trip is to help achieve the indicated goal/lesson alignment by: Input how field trip will achieve goals of lesson

Lunch plans if applicable:(choose only one)

Lunch upon return to school
Provided by venue
Sack lunches provided by cafeteria
Lunch purchased elsewhere

Name of company lunch will be purchased through

Signatures

Teacher Signature Principal Signature Superintendent Signature