Fillable Field Trip Request Form

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Field Trip Request Form

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The Field Trip Request Form form is 1 page long and contains:

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File type: PDF

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5/9/11
Cerritos College
Field Trip Request
Date Requested
Instructor
Class
Class Meeting Time
Date of Trip
Departure Time
Return Time
Purpose of Trip
Destination
(For bus trips, include address)
Bus Pick-up Point
Number of Students
(Please attach name and student number of participants)
Bus Tip Confirmed
(Ordered by Facilities)
NOTE: Requests for buses must reach Facilities two weeks in advance of the trip. All contracts for lodging or transportation
must be approved by Business Offices at least two weeks in advance of trip. Student with disabilities must be provided with
accommodations and accessible transportation for all field trips. For assistance contact DSPS at extension 2333.
TRAVEL APPROVAL AND EXPENSE CLAIM
(Fill in all applicable areas)
EXPENSES
ESTIMATED COSTS
EXPENSES
ACTUAL COSTS
Registration
Lodging
Meals
Business Phone Calls/FAX
Parking
Taxi/Shuttle ($15 per day limit)
Transportation (Airfare, Train, Bus)
Other Expenses (Refer to Board Policy)
Mileage (Total miles per day)
TOTALS
Original copy of the registration for the conference/competition must be attached. Itemized original receipts must support all claims for personal
reimbursement and for account reconciliation. Refer to Administrative Procedure 4300 for other required documents.
Required Signatures
Instructional Dean
Date
Academic Affairs
Date
President/Superintendent*
Date
*For out of state or out of country field trips
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Field Trip Request Form

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Completed 28 March 2020

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