Revised 8/2010
Morgan County Schools - Request for Curricular Trip
Directions: Refer to regulations on back of form and complete the following:
Teacher Making Request ______________________________ School ___________________________
Destination:
From _________________________________________________________
To
__________________________________________________________
Departure Date _________________________________ Departure Time ________________________
Arrival Time ____________________________________ Return Time ___________________________
Number of students making trip ____________________ Grade Level(s) _________________________
Do any of the students have specialized health care or other special needs? _____ Explain how those needs
will be addressed during the trip: ____________________________________________________________
Explain how this trip correlates with the content standards and instructional program to extend, enhance and
reinforce student learning:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
List names of professional employees and/or aides accompanying students on trip:
_________________________
_________________________
_______________________
_________________________
_________________________
_______________________
_________________________
_________________________
_______________________
List names of other chaperones accompanying students on trip:
_________________________
_________________________
_______________________
_________________________
_________________________
_______________________
_________________________
_________________________
_______________________
Expense Estimate (if any)
Bus Operator (Approx. $25/hour)
$________________________
Other (substitute costs - $125/day
professional - $105/day service,
admission fees, registration, etc.)
$________________________
TOTAL
$________________________
Requesting Teacher Signature _________________________________ Date ______________________
Submit to principal.
Approved
Denied
Funding Source: _______________________
Amount $__________________________
_______________________
$__________________________
Principal Signature _______________________________________ Date _________________________
Denied – Return to Teacher
Approved – Submit to Superintendent’s Office
Approved
Denied
Director Signature _______________________________________ Date _________________________
Outside the Area
Approved
Denied
Date of Board of Education Action ___________
Superintendent Signature ________________________________________ Date __________________
Copies:
Teacher Making Request
Principal
Transportation Director
Instructional Director
Payroll Department
Form - Request for Curricular Trip