Field Trip Authorization Form
HUTCHINSON COMMUNITY COLLEGE
Date submitted_________________ Date of trip_________________________
Name of class and/or club:____________________________________________________________
Name of instructor/sponsor:___________________________________________________________
Destination:________________________________________________________________________
Educational objective:________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
TRANSPORTATION
A purchase order should be submitted for vehicle mileage.
|
School Vehicle:
_____Car _____Van
|
|
Private Vehicle:
_____Car _____Van
|
Name of Driver(s): (All drivers must have clearance from the business office if a school vehicle is used.)
__________________________________________________________
__________________________________________________________
__________________________________________________________
Time of day trip is to be taken:
_____Morning _____Afternoon _____Evening _____All Day
A list of the students to be off-campus for this trip should accompany this request.
_________________________________ _______________________________
Instructor/Sponsor Department Chairperson
_________________________________________________
Date Dean of Instruction
cc President