<p> COLLEGE OF ARTS AND ARCHITECTURE Academic Field Trips/Group Travel with Students (Domestic) CHECKLIST</p><p>Department, Class, or Organization Sponsor: ______</p><p>Name & Title of PSU Employee in Charge of the Field Trip:______</p><p>Other Employees: ______</p><p>Trip Dates: ______</p><p>Trip Destination (s): ______</p><p>Attach itinerary if Multiple Destinations or Overnight travel</p><p>List all means of transportation. Include departure and arrival times. Provide attachment if needed. ______</p><p>Is the field trip (check all that apply): . Part of a Course? . Course Requirement? . Optional? . Part of another University activity? (attach explanation)</p><p>Trip Purpose:______</p><p>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</p><p>IF OVERNIGHT TRAVEL --- MOU and Code of Conduct required for each participant</p><p>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</p><p>Emergency Contact Information (while on Field Trip):</p><p>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)</p><p>Contact Information of individual (s) remaining On Campus or within local area:</p><p>Name ______Phone Number: ______Location of phone: ______(campus or home location) Please indicate if personal cell phone: ______(name of person who owns phone)</p><p>Signature – Faculty in Charge Date Signature – Department/Unit Head Date</p><p>______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</p><p>. Has Risk Management reviewed all contracts, agreements, applications, or similar documents required for this field trip?</p><p>. Has the Assistant Treasurer signed all such contracts?</p><p>. Is a University employee accompanying and in charge of the group?</p><p>. Is a list of those traveling on the field trip available in the department?</p><p>. Is emergency contact information for all travelers available in the department?</p><p>. Has each participant completed and MOU and a Code of Conduct? (Required for Overnight and International Travel)</p><p>. Are telephone or cell phone numbers available in case the department needs to contact anyone on the trip?</p><p>. 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?</p><p>. Are emergency communications available to the group at all times?</p><p>. Has appropriate transportation been arranged for safe travel? (Personal vehicles must not be used to transport students to the field trip location.)</p><p>. 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)</p><p>. Questions? Contact Risk Management or Arts and Architecture Financial Office.</p><p>. 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</p><p>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)</p><p>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</p>