East Providence School Department

EAST PROVIDENCE SCHOOL DEPARTMENT EAST PROVIDENCE, RHODE ISLAND (To be completed by teacher and submitted to the Principal for approval and filed with the Assistant Superintendent at least 2 weeks prior to the date of the trip) FORM FOR REQUESTING AND REPORTING FIELD TRIPS Date______Name of School______Day and Date of Trip Planned______Place to be Visited______Expected Departure Time______Return Time______Objectives of Trip______Explain How Trip Supports School Improvement Plan______GLEs/GSEs covered:______Proposed Methods of Evaluation______

Name of Invited Guests/Chaperone(s) (if any)______

______Grade______Signature of Teacher Requesting Trip

Approved by______Date______Signature of Principal Note: 1. Transportation Requisition Forms, if needed, are to be sent to the Transportation Office at least two weeks prior to the date of the trip. 2. Evaluations of each trip are to be shared with the Principal within two weeks of the trip.

Revised 4/10