Academic Field Trips/Group Travel with Students (Domestic)

COLLEGE OF ARTS AND ARCHITECTURE Academic Field Trips/Group Travel with Students (Domestic) CHECKLIST

Department, Class, or Organization Sponsor: ______

Name & Title of PSU Employee in Charge of the Field Trip:______

Other Employees: ______

Trip Dates: ______

Trip Destination (s): ______

Attach itinerary if Multiple Destinations or Overnight travel

List all means of transportation. Include departure and arrival times. Provide attachment if needed. ______

Is the field trip (check all that apply): . Part of a Course? . Course Requirement? . Optional? . Part of another University activity? (attach explanation)

Trip Purpose:______

Estimated number of Student Participants: ______Attach roster: Student Name, PSU ID #, Student cell phone #, Emergency Contact Name, Emergency Contact phone #, Emergency Contact’s relationship to Student

IF OVERNIGHT TRAVEL --- MOU and Code of Conduct required for each participant

Will you be charging participants? YES ______NO ______If YES, what Amount will you Charge to each person? ______Attach budget with details – FO approval is required before any fees are charged

Emergency Contact Information (while on Field Trip):

Name ______Phone Number: ______Location of phone: ______(i.e., name of field trip destination) Please indicate if personal cell phone: ______(name of person who owns phone)

Contact Information of individual (s) remaining On Campus or within local area:

Name ______Phone Number: ______Location of phone: ______(campus or home location) Please indicate if personal cell phone: ______(name of person who owns phone)

Signature – Faculty in Charge Date Signature – Department/Unit Head Date

______After signatures, maintain a complete copy in the departmental office. Send Original to Financial Officer. COLLEGE OF ARTS AND ARCHITECTURE Academic Field Trips/Group Travel with Students (Domestic) CHECKLIST

. Has Risk Management reviewed all contracts, agreements, applications, or similar documents required for this field trip?

. Has the Assistant Treasurer signed all such contracts?

. Is a University employee accompanying and in charge of the group?

. Is a list of those traveling on the field trip available in the department?

. Is emergency contact information for all travelers available in the department?

. Has each participant completed and MOU and a Code of Conduct? (Required for Overnight and International Travel)

. Are telephone or cell phone numbers available in case the department needs to contact anyone on the trip?

. Has a contact person been identified who remains on campus or in the local area, who may be contacted in the event of an emergency? Does this person have a list of all participants and emergency contact information available?

. Are emergency communications available to the group at all times?

. Has appropriate transportation been arranged for safe travel? (Personal vehicles must not be used to transport students to the field trip location.)

. Do you know who the Safety Officer is for Arts and Architecture in the event of an accident or emergency? Katie Rountree: 814-863-5733 (office) / 814-777-6226 (cell)

. Questions? Contact Risk Management or Arts and Architecture Financial Office.

. Emergency Protocol: In the event of an emergency (injury, accident) while traveling, contact:  911 for emergency medical assistance, then report emergency to  University Police: 814-863-1111

After you have contacted University Police, contact one of the following College personnel to advise them of the situation:  On Campus Contact Person(s) – as noted on the CHECKLIST  Katie Rountree – College Safety Officer – 814-863-5733 (office) 814-777-6226 (cell)  Scott Wing – 814-865-4896 (office) 814-441-3234 (cell)

FN: A&A Academic Field Trips/Group Travel with Students – CHECKLIST ….. A&A Financial Office …..Updated 10/11/06…..Updated 10/21/08 …..Updated 11/10/14…Updated 10/14/15