Field Trip and Student Travel Application 
(Please submit to Central Office five (5) clear working days in advance)
Policy states that travel within the Region and all sports related activities require the prior written approval of the Principal.  Travel outside the Region, other than sports related activities, require the prior written approval of the Superintendent of Schools.
Sign in to Google to save your progress. Learn more
Email *
I.   Details of Trip:
Give basic details and Email complete schedules and parking maps to the transportation office.  Please fill out as many areas as you can even if only a few are marked with a red * as required.
School Name *
Please choose the school where you teach.  Choose "Other" if the school name is not on the list.  If you choose "Other" in this dropdown list please enter the location in the next question.
Leave this blank unless you selected "Other" Location above
LEAVE THIS BLANK unless you selected "Other" Location above.  Please enter that one main "Other" location here.  Only enter that one main "Other" location and email the transportation department with the full details  (addresses, parking and time of arrival and departure for each destination) so we can schedule enough travel time . This main location will also be used for the Departure and Return locations.   
Departure Date
What date do you want the trip to leave
MM
/
DD
/
YYYY
Departure Time
Enter the time you want to leave the school.  Ex 9 am  or 10:15 am etc
Departure Location
 Since most of the Departure and Return locations are the same, what you choose here will be used for both.  If they are different then you can use the "Other (Please Specify)" section to indicate your needs.  Please choose the school location to depart and return.  If you choose "Other" in the school name, choose "Other" here as well and email parking map or location to the transportation office.
Return Date
Usually this is the same as departure date.  This entry area gives options for longer trips.
MM
/
DD
/
YYYY
Return Time
Enter the time you want to return back to the school. The transportation office will calculate when buses will have to leave that location to get to your school at your specified return time.  You can also add "see attached schedule" for very detailed schedules like swimming lessons, etc.  Make sure you send in the schedule to the transportation staff.
Destination *
Enter the destination location of where you are going, please also include the physical address and city.
Reason for Trip:
Give a short explanation for the trip
Grade(s)/Team(s):
What grade are the students on this trip.  If this is a team trip, give the name or sport of the team.  This is used to get the correct bus size and for coding and billing.
Number of Students:
Give the number of students going on the trip.  This is used to get the correct bus size.
Other (Please Specify)
This is an area to add any information you need to add like extra trip details, like a different Depart/ Return location.  This is where you can  also request a specific bus driver.  Please also indicate if you have confirmed with that driver.
Requesting Teacher's Name *
Give only your name here.  This form will collect your email address.  This is needed for the trip documentation.
Name(s) of Supervising Teacher(s) and Cell phone
Give the names and cell contact numbers of all the other teachers going on the trip.  Put the name (cell), next supervisor (cell), etc.  Separate teachers information with a comma.  This is used to get the correct bus size.  The cell phone is to be able to contact while on the trip.
School Principal's Name *
Use the drop down to add your principal's name.  This is needed for the trip documentation.
School Principal's Email *
Use the drop down to add your principal's email.  This is needed for the trip process to function.
II.   Payment
Individual school budgets will be charged directly with the cost of the trip as follows:

Use of bus @ $1.50 per km or the flat rate of $20.00 per trip, whichever is greater.
Cost of driver for driving time and waiting time (schools pay negotiate a lower flat of pay with a particular driver) plus any expenses such as meals, parking, garbage bags, etc.  Drivers receive overtime at the rate of time and one half over 10 hours per day.

Cancellations received from a school with less than 48 hours notice will be responsible to pay for fees associated with the trip request with the exception of cost estimates for the use of the school bus.

* If private vehicles are being used, Principals must ensure adequate insurance is in place in accordance with the Co-Curricular and Extra-Curricular Trips Policy.


Last updated Sept, 2022

Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Clearview Public Schools. Report Abuse