Field Trip Service Request Form

Campus Details
School Taking Trip Question is mandatory

Campus Number Question is mandatory

Student Group

Trip Details
Number of students Question is mandatory

Student Roster Question is mandatory

Attach

Number of Buses Question is mandatory

Destination Name Question is mandatory

Destination Street Address Question is mandatory

Destination City Question is mandatory

Destination Zip Code Question is mandatory

Date of trip and school departure time Question is mandatory

No services available before 8:30 am Monday thru Friday only.
No services available between 2:30 pm- 5:00 pm Monday thru Friday only.

(MM/DD/YYYY HH:MM AM/PM)

Destination Arrival Time (HH:MM AM/PM) Question is mandatory

School return time (HH:MM AM/PM) Question is mandatory

No services available before 8:30 am Monday thru Friday only.
No services available between 2:30 pm- 5:00 pm Monday thru Friday only.

Does any student attending this trip require a wheelchair? Question is mandatory

If yes, how many wheelchair passengers will be there?

Special Instructions

Include Contact Name/Number

Attention:

All field trips requests must include a budget, all trips must be paid by the campus, no exceptions accepted. If activity funds have no money available, please use a general funds (GF1). You can always correct the payment with a mote through accounting. Any reimbursements must be arranged between campus staff and the sponsor "only".

Budget Details
Will your trip be billed to your in-district travel budget? Question is mandatory

Yes

Required if your trip will be billed to your in-district travel budget

Commitment Item (10 digits) Question is mandatory

Cost Center (10 digits) Question is mandatory

Fund (10 digits) Question is mandatory

Functional Area (16 digits) Question is mandatory

Please include all 16 digits

Order/Grant (12 digits or N/A) Question is mandatory

How can we contact you?
Name Question is mandatory

Title

Phone