7:320-E2 Request For Approval – Student Group Overnight Trip

EDUCATIONAL TRIP REQUEST FOR APPROVAL STUDENT GROUP OVERNIGHT TRIP

Name of Group __________________________________________________________

School _________________________________

Sponsor _______________________________

Destination ______________________________________________________________

Dates _______________________ Number of School Days _____________

Travel Agent ____________________________________________________________

Mode of Transportation ____________________________________________________

Housing ________________________________________________________________

Number of Students involved _______________________________________________

Number of Students in Organization __________________________________________

List of Chaperones – One chaperone is required for every 10 students:

__________________________________ ____________________________________ __________________________________ ____________________________________ __________________________________ ____________________________________ __________________________________ ____________________________________ __________________________________ ____________________________________ __________________________________ ____________________________________

Gross Cost per Student _____________________________________________________

Cost per Student After Fundraising ___________________________________________

Planned Fundraising Activities ______________________________________________ _______________________________________________________________________

The following items must be attached to this application:

1. Written rationale for the trip. Must show that the activities involved in the trip are directly supplemental to the regular school program and provide significant learning experiences that are not obtainable in the district, or some other closer location.

2. A list of goals and objectives.

3. A schedule to include the itinerary, five hours of instructional time for each school day missed and a list of tests and/or other instructional materials to be utilized.

4. An information letter to the parents that includes the cost, itinerary and a statement that there is no penalty for non-attendance by a student.

I have reviewed the application and am forwarding it with the recommendation that:

_____ The trip be approved

_____ The trip will not be approved for the following reasons: _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ __________________________________ __________________________________ Principal Date Approved: March 9, 2010

Date Approved:  March 9, 2010