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2340 F5/page 1 of 5 PROPOSAL FOR OVERNIGHT/EXTENDED STUDENT TRIPS Type of Trip Proposed Departure Date Return Date Proposer Position Date by which response is needed Proposal Date A. Purpose What is the major place to be visited or event to be attended How is the trip related to the educational program of the District In what ways will the students benefit How will the trip be evaluated to determine the extent to which these benefits were realized NEOLA 2001 B. Students and Staff Which students grade class or organization will be going How many students in total Which staff member will be in charge What previous experience has the staff member had in conducting overnight or extended field trips What other staff members will be going How many chaperones in addition to staff members will be going What are their names and affiliations with the students How many school days will be missed How will teachers be advised in advance that the students will be out of school C. School Work D. How will missed work be made up What special assistance will be provided students with academic problems Itinerary What is the destination What will be the mode of transportation What liability insurance does the carrier have Where will the group be housed and fed What enroute or supplementary activities are planned What arrangements have been made for dealing with emergency situations students while on this trip If tour guides are involved what liability insurance do they carry E* Finances What is the source of funds How will the funds be collected and safeguarded How will any shortfall be made up or excess funds used What provision has been made for students who are financially unable to pay any necessary costs F* Communications How will you communicate to parents prior to during and after the trip List telephone numbers at destination and where group will be housed* What information will be provided to the media and the community Signature of the Requestor Date Approved Principal Board of Education 5/02. Purpose What is the major place to be visited or event to be attended How is the trip related to the educational program of the District In what ways will the students benefit How will the trip be evaluated to determine the extent to which these benefits were realized NEOLA 2001 B. Students and Staff Which students grade class or organization will be going How many students in total Which staff member will be in charge What previous experience has the staff member had in conducting overnight or extended field trips What other staff members will be going How many chaperones in addition to staff members will be going What are their names and affiliations with the students How many school days will be missed How will teachers be advised in advance that the students will be out of school C. Students and Staff Which students grade class or organization will be going How many students in total Which staff member will be in charge What previous experience has the staff member had in conducting overnight or extended field trips What other staff members will be going How many chaperones in addition to staff members will be going What are their names and affiliations with the students How many school days will be missed How will teachers be advised in advance that the students will be out of school C. School Work D. How will missed work be made up What special assistance will be provided students with academic problems Itinerary What is the destination What will be the mode of transportation What liability insurance does the carrier have Where will the group be housed and fed What enroute or supplementary activities are planned What arrangements have been made for dealing with emergency situations students while on this trip If tour guides are involved what liability insurance do they carry E* Finances What is the source of funds How will the funds be collected and safeguarded How will any shortfall be made up or excess funds used What provision has been made for students who are financially unable to pay any necessary costs F* Communications How will you communicate to parents prior to during and after the trip List telephone numbers at destination and where group will be housed* What information will be provided to the media and the community Signature of the Requestor Date Approved Principal Board of Education 5/02.