8/31/2011
Field Trip Report Form
All instructors taking students away from the college for field trips, athletic events, judging
contests, skill competitions, musical performances, etc. will complete this form and submit to
the Learning Office at least one day before the scheduled date.
Name of Instructor(s)____________________________________________________________
Course Name & No. or Activity_____________________________________________________
Departure Date & Time____________________________________________________ AM/PM
Return Date & Time______________________________________________________ AM/PM
Destination____________________________________________________________________
List of Students Attending Activity
1.__________________________________ 16._________________________________
2.__________________________________ 17._________________________________
3.__________________________________ 18._________________________________
4.__________________________________ 19._________________________________
5.__________________________________ 20._________________________________
6.__________________________________ 21._________________________________
7.__________________________________ 22._________________________________
8.__________________________________ 23._________________________________
9.__________________________________ 24._________________________________
10._________________________________ 25._________________________________
11._________________________________ 26._________________________________
12._________________________________ 27._________________________________
13._________________________________ 28._________________________________
14._________________________________ 29._________________________________
15._________________________________ 30._________________________________