Virtual Field Trip Request Form
Today's Date: ______________
*This request must be submitted at least one month in advance of activity.
Print this form as needed
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Virtual Field Trip Request Form Today's Date: ______________ |
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*This request must be submitted at least one month in advance of activity. |
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Print this form as needed |
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Teacher Name:_________________________________ Direct Phone#_________________ District:________________________ Building:________________ Grade(s) _________ Teacher's E-mail Address ____________________________ Number of Participants: _____ Mailing address: (for materials)_________________________________________________ If the virtual field trip site is not listed in the VFT Travel Guide, please provide contact information on reverse side of this request. Include phone number and contact name. Field Trip Site (i.e.: NASA, Atlanta Zoo...): ______________________________________ Field Trip Date (1st choice):____________________(2nd choice): ___________________ Field Trip Time (1st choice): from______ until______(2nd choice):from_____until________ Topic or Title of Field Trip:____________________________________________________ Subject Area:_________________________ Expected cost of VFT ____________________ Site (i.e.: Hillman H.S.):_____________________ Other site(s) if applicable:____________ May another class to join the activity? Yes or No (circle one) Is technician necessary for ITV controls? Yes or No (circle one) Approval of Building Principal (Signature):_______________________________________ I agree to follow all NMEC rules and guidelines. I will be in charge of the supervision and discipline of my class while on this virtual field trip. I agree to fill out all required evaluation forms and act as a mentor and resource (if needed) for other teachers wanting to take virtual field trips (this may be participating in a workshop). Teacher' s Signature: _______________________________________________________ |
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Have this form filled out &
available when you call |
…THEN TURN THIS REQUEST INTO YOUR DISTRICT SCHEDULER