Field Trip Request Date of Proposed Trip MM slash DD slash YYYY Instructor Requesting* First Last Email* Program RequestingReason for RequestDestinationApproximate MilesDate of Departure MM slash DD slash YYYY Time of Departure : Hours Minutes AM PM AM/PM Return Date MM slash DD slash YYYY Return Time : Hours Minutes AM PM AM/PM Method TransportationSHS School Bus Required? Yes No Approximate number of Students AttendingApproximate number of approved chaperones