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 |