TERRA Environmental Research Institute FIELD TRIP REQUEST CHECKLIST

COMPLETE THIS CHECKLIST AND ATTACH TO YOUR PACKET TEACHER / ADVISOR _______________________________________________________________________ TRIP DESTINATION ___________________________________ DATE(S) OF TRIP ____________________ � ALL FORMS ARE TYPED AND SIGNED IN BLUE INK. TIME LINE (check one) � In-County (turned in 15 business days prior to trip) � Out-Of-County Pre-Approved Field Trip (turned in 30 business days prior to trip) � Out-Of-County other than pre-approved (turned in 45 business days prior to trip) TEMPORARY DUTY APPROVED. � # of Chaperones __________ (All chaperones on the roster must complete a Temporary Duty Form) � Administrator signature __________________________________________________________________ FIELD TRIP REQUEST FORM (FM 2431) � Destination, Date & Time completely filled out � Teacher / Advisor signature on form � Number of Students Participating in Trip matches the number of students listed on roster. Please print the student roster separated by period. Leave a copy of the roster with the attendance office the morning of the trip with an accurate reflection of the students departing in the bus. � Total Number Chaperones matches the number of chaperones listed on roster. The cellular telephones of the chaperones must be accurate. � Transportation section completed and a printed copy of the vendor approval must be attached . Approved Private School Bus and Chartered Bus vendor verified by using the Department of Procurement Managements website at http://procurement.dadeschools.net/field-trips.asp � Department Head Signature in bottom margin of form � TERRA typed in School field (next to Principal Signature at the bottom of the form) FIELD TRIP ROSTER (FM-3530) � Make copy for your records and Attendance Office. Please print the student roster separated by period. Leave a copy of the roster with the attendance office the morning of the trip with an accurate reflection of the students departing in the bus. CHAPERONE ROSTER (FM-6802) � Volunteer numbers or DCPS employee number and levels must be listed The cellular telephones of the chaperones must be accurate. � Teacher / Advisor signature on form

PARENT PERMISSION FORM (FM 4573) (original) � Page 1 and 2 complete FIELD TRIP INFORMATION FOR OUT OF COUNTY TRIPS (if applicable) � Letter of invitation, sanction, and/or contract. � Detailed Itinerary FEE COLLECTION and CHECK REQUESTS � Please contact the school treasurer previous to collecting any field trip fees and make arrangements for making deposits. � Please fill out a check requisition form with the school treasurer requesting checks and fees. You must bring back original receipts to the treasurer and turn them in upon your return. TRANSPORTATION � Purchase Order for buses attached (if no Purchase Order is necessary, please explain why). OPTIONS (check one) � M-DCPS Transportation (form FM-1596 must be submitted to the appropriate Transportation Center ten (10) days prior to the field trip) � Private Bus or Chartered Bus � Private Vehicle � Request for Approval to Use Private Vehicle For Transportation (FM-6298). Completed for each driver. � A copy of a Valid Driver’s License and Insurance Card attached. NOTE: If ten (10) or more students are going on a field trip, you must have adult drivers or a bus. Additional information: Form Numbers: Field Trip Permission Request Form FM-2431 Field Trip Roster FM-3530 Field Trip Chaperone List FM-6802 Copy of Parent Permission Form FM Water Related Field Trips: Request for Water Related Field Trips FM-6614 Water Related Field Trip Permission Request Form FM-6646 Parent Permission Form-Water Related Field Trip FM-6688

OFFICE USE ONLY Date Received: __________________________ Returned For Corrections: __________________________