Schick Field Trip Request Schick Field Trip Request New Guidelines Deadline Request guidelines. Date of Field Trip Deadline to Request Field Trip September – December September 14 January – June December 14 Note - If an exact date is unknown, please use a tentative date or a date range. Field Trip Request Form All out-of-state field trips must be board approved. After approval, the requestor is responsible to coordinate transportation with the transportation director. Furthermore, the requestor must confirm details at least one (1) week prior to the scheduled trip to ensure a driver has been secured. Also, it is requestor's responsibility to notify the transportation director if the trip is canceled. Today's Date* Requestor Name:* Date(s) Trip is Planned* Alternate Date: f not applicable please indicate None as your response. Group or Class:* Sub Plans Please make substitute arrangements in accordance with building policy. Number of Students: The value must be greater than or equal to 1. Is a Substitute Required? Enter 0 for no substitute required; .5 for a half-day substitute; 1 for a full-day substitute for each substitute/per teacher. Ex: 2 LTSD teachers requiring half day substitutes would enter a value of 1. Number of Chaperones The value must be greater than or equal to 1. Number of District Busses Required: Please note alternate transportation (if used) on line 17. Total Number of Miles: Destination of Trip: Departure Time: Indicate AM/PM with all times. Return Time:* Indicate AM/PM with all times. Lunch Plans:* If not applicable please indicate None as your response. Estimated Total Cost:* nclude items such as admission, food, transportation (see 1. below), lodging and substitute costs (see 2. below). 1. District transportation cost calculation = Line 9 X Line 10 X $3.00 2. Substitute cost calculation = Line 7 X $80 Estimated Reimbursement Revenue Payments by participants and/or misc. contributions Estimated Cost to the District:* = Line 15 - Line 16 Educational/Curriculum Correlation:* Special Needs/Miscellaneous Items/Extraordinary Circumstances: Please note number of special needs students in wheel chairs attending. If you are human, leave this field blank.