REGIONAL SCHOOL UNIT No. 57 Office of the Superintendent Waterboro, Maine 04087 To:

Cc:

FIELD TRIP REQUEST Instructions: All requests must be in the Transportation Office at least two weeks prior to the trip date. ALL out-of-state, overnight, foreign travel, and trips more than 150 miles away must be approved by the RSU #57 Board of Directors. These requests MUST be submitted to the Transportation Department 8 WEEKS prior to the trip unless the Superintendent waives the deadline. The Transportation Department will then forward the request to the Superintendent for Board review. Order of Processing: (1) Submit the completed form to your Building Administrator. (2) Building Administrator will forward approved form to Transportation Department. (3) Transportation Department will forward approved form to the Superintedent's Office. Trips will be billed to the school as follows: cost per mile * number of miles + driver rate of pay * Group Requesting Trip:

Elementary

Trip Date(s): Return Date & Time: Number of buses requested:

MMS

MHS

Departure Time:

G/T

Sp. Ed.

Adult

Departure Location:

Number of Students: Handicap Bus:

Number of Adults: Number of Wheelchairs:

Teacher(s) requesting trip:

Grade(s):

Destination:

Street:

City:

State:

Zip Code:

Directions:

Value of activity to the class group:

Relationship of the field trip activity to the curriculum:

Cost and source of funds: Administrator:

Date signed:

Approved

Unapproved

Transportation:

Date signed:

Approved

Unapproved

Superintendent:

Date signed:

Approved

Unapproved

revised 2/25/15