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NIAGARA CATHOLIC DISTRICT SCHOOL BOARD REQUEST FOR OVERNIGHT FIELD TRIP, EXTENDED OVERNIGHT FIELD TRIP AND EXCURSION |
| This form applies to any trip scheduled during the school year, organized and/or supervised by a teaching staff member for students (some or all) from that teacher’s school that involve overnight accommodation.
(Education Field Trip Policy 400.2) |
| REQUESTED BY ORGANIZING TEACHER
| SCHOOL | DATE
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TYPE OF TRIP
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(4 or more nights) |
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| DESCRIPTION OF THE TRIP
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| TARGET GROUP OF STUDENTS
(Class/Team/Organization) | ||||
| REQUEST FOR SPECIAL ACCOMMODATIONS
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TRIP DETAILS
| DESTINATION OF TRIP | DEPARTURE DATE | DEPARTURE TIME |
| ADDRESS | RETURN DATE
| RETURN TIME |
| TOTAL DAYS
| TOTAL NIGHTS | |
| NUMBER OF STUDENTS/PARTICIPANTS
| NUMBER OF STAFF | NUMBER OF CHAPERONES |
LEARNING OUTCOMES OF TRIP
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PRE-TRIP ORGANIZATION, PLANNING, MEETINGS, PREPARATION (Dates)
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POST-TRIP FOLLOW UP / EVALUATION OF EDUCATIONAL VALUE
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COSTS
| TOTAL COST OF
TRIP PER PERSON $ | COST INCLUDES:
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| ADDITIONAL
COSTS $ | ADDITIONAL COSTS INCLUDE:
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| TRANSPORTATION MODE | TRANSPORTATION CARRIER | TRANSPORTATION COST
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TRANSPORTATION COSTS (if not using a Tour Company)
| 1. Attach three (3) proposals from Transportation Vendors. 2. Identify below the three vendors and quotes. 3. Indicate Principal Approved Vendor. OFSAA Transportation Requests are to be completed on a separate form. Vendor #1 $ Vendor #2 $ Vendor #3 $ Principal Approved Vendor # If not selecting the lowest price Vendor, please provide a rationale: |
ACCOMMODATION / HOTEL COSTS (if not using a Tour Company)
| 1. Attach three (3) proposals from Accommodation / Hotel Vendors. 2. Identify below the three vendors and quotes. 3. Indicate Principal Approved Vendor. Vendor #1 $ Vendor #2 $ Vendor #3 $ Principal Approved Vendor # If not selecting the lowest price Vendor, please provide a rationale: |
TOUR OR TRAVEL COMPANY COSTS
| 1. Attach three (3) proposals from Tour or Travel Company Vendors.
2. Identify below the three vendors and quotes. 3. Indicate Principal Approved Vendor. Vendor #1 $ Vendor #2 $ Vendor #3 $ Principal Approved Vendor # If not selecting the lowest price Vendor, please provide a rationale: |
SUBMISSION CHECKLIST
The following information must be included at the time of submission, unless otherwise deferred by a Superintendent of Education:
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| PRINCIPAL COMMENTS:
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SUPERVISING STAFF NAME | TYPE OF COVERAGE ARRANGED |
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APPROVALS
| SIGNATURE OF ORGANIZING TEACHER | DATE
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| SIGNATURE OF PRINCIPAL | DATE
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| SIGNATURE OF FAMILY OF SCHOOLS SUPERINTENDENT | DATE
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| SIGNATURE OF EXTENDED OVERNIGHT FIELD TRIP & EXCURSION SUPERINTENDENT (if required)
| DATE |