Field Trip Request Form Completed form must be submitted at least to the scheduled trip. 5 working days prior Email is an acceptable method of submission for all in-county requests. Date: Trip Information Day Trip – List Date: Requester's Name: Multiple Days – List Dates: Destination Including Address: Note: For out-of-county field trips, a Request for Travel must accompany the Field Trip Request Form. Instructional Purpose: Emergency Telephone at Destination: ( ) - Ext. College Vehicle Required: No Yes [If yes, please contact Plant Operations (x8-8228) to reserve a vehicle. Drivers must have a current Driver Privacy Protection Act Authorization form (FTCC Form M-11) on file.] List of Participating Students: (For classes, list course and section # and attach roster) Approvals (Approval for on-campus field trips requires Program Coordinator or Department Chair approval only.) Approved Program Coordinator Unapproved Initials / Date Approved Department Chair Unapproved Initials / Date Approved Division Chair Unapproved Initials / Date Approved Program Area Dean Unapproved Initials / Date Distribution: Dean Division Chair Department Chair / Program Coordinator Evening & Weekend Programs Director (if applicable) Department Secretary Security
Field Trip Request Form Completed form must be submitted at least 5 working days prior to the scheduled trip. Email is an acceptable method of submission for all in-county requests. Date: Trip Information Requester's Name: Day Trip – List Date: Multiple Days – List Dates: Note: For out-of-county field trips, a Request for Travel must accompany the Field Trip Request Form. Destination Including Address: Instructional Purpose: Emergency Telephone at Destination: ( ) - Ext. College Vehicle Required: No Yes [If yes, please contact Plant Operations (x8-8228) to reserve a vehicle. Drivers must have a current Driver Privacy Protection Act Authorization form (FTCC Form M-11) on file.] List of Participating Students: (For classes, list course and section # and attach roster) Approvals (Approval for on-campus field trips requires Program Coordinator or Department Chair approval only.) Approved Program Coordinator Unapproved Initials / Date Approved Department Chair Unapproved Initials / Date Approved Division Chair Unapproved Initials / Date Approved Program Area Dean Unapproved Initials / Date Distribution: Dean Department Chair / Program Coordinator Department Secretary Division Chair Evening & Weekend Programs Director (if applicable) Security
FieldTripRequest.docx