Field Trip Handbook - Educational and Extra-Curricular Field Trips

Document Sample
Field Trip Handbook - Educational and Extra-Curricular Field Trips Powered By Docstoc
					                                        The Newark Public Schools
                                     Office of the State District Superintendent
                                                   2 Cedar St reet
                                          Newark, New Jersey 07102-3091
                                                Phone: 973-733-7333
                                                 Fax: 973-733-6834
   Dr. Clifford B. Janey                                                               Lucille E. Davy
State District Superintendent                                                      Commissioner of Education



                           1. Field Check-off Form……..……………………………………………..10

                                      Table Of Contents
         School Board Policy: 6153…………………………………….04-05

         Field Trip Guidelines and Procedures…………………………06-08

         Field Trip Process………………………………………………09-11

                 Forms:
                       2. Field Trip Request Form…………………………………………………11
                           3. Field Trip Attendance Form……………………………………………..12
                           4. Chaperones Form………………………………………………………..13
                   4. Administrative Day for Supervision of Field Trip (Secondary Only)…….…14
                       5. Field Trip Parent Permission Form……………………………………....15
                        6. Bus Transportation Form………………………………………………...16
                      7. In- State Field Trip Rejection Form……………………………………….17
                       8. Overnight Field Trip Request Form…………………………………… 18
                      9.    Out of State Field Trip Form……………………………………………..19
                      10. Denial Form…………………………………………................................20
                     11. Staff Incident Report……………………………………………………...21
                     12. Field Trip Evaluation Form……………………………………………….22
                     13. Field Trip Agenda Approval Dates:………………………………………23
                     14. Field Trip Contacts……………………………………………………….24
                                ……………………Sample Field trip Duplicates…………………….

                                  Changing Hearts and Minds to Value Education
                                Newark Public Schools

As a district we recognize that education does not exist in a vacuum. In recognizing the
rich diversity of our student population, we also acknowledge the richness of the diverse
environment that surrounds us. The numerous cultural, educational and economic
institutions that are part of the greater Newark community play a critical role in the lives
of our children. It is equally essential that these institutions become an integral part of
our educational program.
                                Dr. Clifford B. Janey, 2008
                                       Superintendent




                                   School Board Members


                              Mr. Samuel Gonzalez, Chairperson
                      Ms. Shanique L. Davis-Speight, Vice Chairperson
                                      Mr. Tharien Arnold
                                    Mr. Anthony Machado
                                       Ms. Eliana Pintor
                                      Ms. Arelis Romero
                                    Mr. Carlos Valentin, Jr.
                                 Superintendent of Schools
                                   Dr. Clifford B. Janey




                        Changing Hearts and Minds to Value Education




Educational and Extra-Curricular Field Trips Guidelines
School Level Approval
       Before granting approval of a field trip, the principal or designee shall evaluate the educational
        benefits for students and any relevant health and safety factors.
       Request must be submitted to the principal for approval at least 60 days prior to the intended date
        of the trip in state and 90 days for out of state.
       If not district funded, a provision must be in place for students who cannot afford to pay to
        participate.
       All requests must include the following:

    Purpose of the trip
    Number of students participating
    Number of chaperones accompanying students
    Description of the trip aligned with New Jersey Core Curriculum Content Standards (include
     subject related pre-planning, follow- up and evaluation)
    Transportation to be utilized
    Cost per student and how cost will be addressed (fundraiser, donations or district funds)


Crite ria for Selecting Trips

   1. Is the trip an outgrowth of a classroom experience?
   2. Will it help in developing a unit of instruction?
   3. Will the trip introduce students to new areas of learning and provide new experiences?
   4. Will the trip provide an opportunity for the practice of communication, quantitative analysis,
      and/or problem solving skills?
   5. Will the trip provide experiences that will promote rigor and critical thinking during follow- up
      activities?
   6. Will the trip aid in forming improved attitudes and appreciation for cultural and academic
      experiences?

Advisory Board Approval
                               All field trips to take place in-state or outside the state of New Jersey
                                must be recommended by the principal of the school, the Assistant
                                Superintendent, the Superintendent or designee, and approved by the
                                Newark Public School Advisory Board.         Each field trip packet must
                                include:

       Purpose of the trip
       Number of students participating
       Number of chaperones accompanying students
       Description of the trip aligned with New Jersey Core Curriculum Content Standards (include
        preplanning, follow- up and evaluation)
       Transportation to be utilized
       Cost per student and how cost will be addressed (fundraiser, parent donations or district funds)
       SLT Agenda #
       Itinerary (if requested)
                             Changing Hearts and Minds to Value Education
                             Any plans for out-of state field trips shall be tentative. NO fundraising
                              activities shall take place until and unless approved by the Superintendent
                              and/or Advisory Board at the monthly Advisory Board Meeting.

Parent Approval
      At least one week prior to participation in any field trip, a Newark Public School permission
       form shall be sent home for parental approval.         A student must return a signed parental
       permission form. Times, activities, mode of transportation and other details about the trip must
       be included on the form.
      A blanket approval form is not sufficient. Each trip must be identified. Use the standard district
       form (sample attached).
      Newark Public School Extended School Day events, athletic events, competitive events and
       other approved non-athletic activities will only require signed parental permission forms at the
       beginning of the 2008-2009 school year and/or season/event (universal permission).

General Concerns

The teacher and chaperones in charge of students on the trip will adhere to the following:
   1. Be responsible for the welfare and conduct of the students as if the activity were conducted at the
       school level;
   2. Be responsible for adequate accommodations for special needs or special health considerations;
   3. Be responsible for planning necessary communication in the event of an emergency situation.

      NPS Discipline Policy/Code of Conduct will be in effect on all field trips.

      The field trip must show evidence of being well-planned prior to departure and have a plan for
       efficient evaluation upon return.

      Chaperones must be provided for each field trip with the minimum ratio of one chaperone for
       every ten students. This number may vary for younger children and trip site.

      All trips will be denied if trip involves swimming, exposure to water or water rides and
       activities.

      There will be no amusement park trips (i.e.: Great Adventure, Six Flaggs, Dorney Park,
       Hershey Park, etc.)

      Emergency card information should be in the possession of the field trip Lead Teacher during
       each field trip.

      A copy of all parent permission slips are to be left in the care of the administrator or designated
       staff member at the school. Students who do not have a trip slip on file will not be allowed to go
       on the trip.

      Field trips request forms are a matter of public record. It is important to use correct spelling and
       grammar and to assure that the forms are typed and clearly legible.



                           Changing Hearts and Minds to Value Education
Cancellation of Field Trips

Due to the high cost of admissions and transportation cost its important to check for important events
and conflicts before scheduling a trip. Cancellations are expensive. If a trip requires a contracted bus
for your trip and if you call too late to inform the company, Newark Public Schools is charged for bus
usage. Reminder: Cancel at lest 48 hours before the trip.



Accidents or Incidents
All accidents or incidents must be reported immediately to the school administrator and SLT Assistant
Superintendent. A completed incident report must be completed with all required information and
forwarded to the Office of Educational Services (within 24 hours).

Out Of State Or Overnight Field Trips

Traditional paper request must be made when students are going out of state or staying overnight.
Facilities in New Jersey and the immediate Metro area (50 miles) will be recommended before out of
state approval.

All of the following require special approval from the Superintendent and or Advisory Board:
     Any trip requested beyond 1 ½ hours of travel and /or 50 miles one way.
     Trips requiring transportation other than district owned buses or contracted companies.
     Trips requiring airlines or railroads.
     Any international travel (Requires Essex County Superintendent Approval)

Transportation Form
Completed transportation form must be submitted with each trip. If transportation is not needed, write
NA on the form and indicate how students are being transported to trip location.



  Failure to follow required field trip procedures will result in delay and/ or possible denial of trip
                                               request.



                                RESOURCES AND REFERENCES

Volusia County Schools- Florida: Educational Field Trip Procedures Manual 8/20/2007

Field Trips: 2006-2007 https://www.ocps.net/es/cr/resources/Documents/Field%20Trip%20Pack.pdf

Newark Public Schools Policy Manual 2007




                           Changing Hearts and Minds to Value Education
                                     Field Trip P rocess
                                   2008-2009 School Year
School Level
    Principal identity /assign Clerk/Administrator responsible for field trips.
    Upon approval of field trip and thorough review for completion of packet submit completed
       packet to SLT office.
SLT Level
    SLT Office identifies C lerk/Special Assistant responsible for field trip process.
    Designee review check list and items included in packet. If complete assign an agenda #, add to
       spreadsheet and submit to Educational Services. If incomplete send back to school with
       DENIED stamped and missing items checked on Rejection Form.
Educational Services
    Educational Services receives field trip request packet, stamps,                     logs in, and
     reviews for required items
    Reviewer reviews for accuracy and completeness:

          o   Agenda Action Item is indicated where necessary
          o   Field trip request check off form (requisition, trip request form, transportation, etc.)
          o   PO # is indicated on Bus Transportation Form
          o   Required signatures are affixed (requisitions, transportation, and trip requests)
          o   All costs are accurately indicated
          o   Trip description, correlation to the CCCS, pre-planning, follow-up and evaluation
          o   Date/timelines
          o   Destination
          o   Indicate any special accommodation(s) (ex: wheelchair)

    Executive Assistant either initials or signs field trip request form and submits to
     Superintendent for approval
    Executive Assistant presents all fields field trips to Advisory Board Curriculum
     Committee on the second Wednesday of the month
    Curriculum Committee submits to the Advisory Board for final approval.
    SLT’s /Departments submit spreadsheet of all field trips submitted for the month,
     for Advisory Board resolution (agenda #, school, trip purpose, location, # of
     chaperones, # of students and cost)
    Educational Service Reviewer reviews spreadsheets, complies all spreadsheets into
     one document, and creates one resolution for Advisory Board Approval
          o Resolution is submitted to the Superintendent for signature
          o Signed resolution is submitted to Virginia Rimpson (hard and digital copies) for
            inclusion in Advisory Board minutes
    After the monthly Advisory Board meeting Educational Services distributes
     attached requisition, affixes the “Approved “ label on the Field Trip Request Form,
     copies of the packet are filed in Educational Services, and then mails the original
     packet(s) back to the sender (SLT).

    Educational Service Reviewer separates bus transportation form from Field Trip
     Request Packet and submits to Office of Pupil Transportation
 Spreadsheet of approved Field Trips is electronically transmitted to Joyce Lee, Joe
  Somai, submitting SLT’s, and departments.

Key
 Agenda Item Action Number (for example: 05.12.10) is generated by each
  SLT/Department, using the following format: SLT#. Trip#. Month: Using the
  traditional method for numbering months. EX: Jan. =01, Feb. = .02, etc.)

 *The agenda number referenced in the above example would be interpreted as:
  SLT 5’s 12 th trip which was submitted in October of said school year. Example
  (05.12.10)

 Trips for each SLT/Department will be consecutively numbered for the entire
  school year




                   Changing Hearts and Minds to Value Education
                     FIELD TRIP APPROVAL PROCESS –
                                2008-2009

   1. School Submits Field Trip Request
   to Assistant Supe rintendent with                                          2. Assistant Superintendent reviews for curriculum
   district approval forms and                                                alignment and accuracy and insures that all needed
   documentation which specifies the                                          documents are attached; then approves and prepares
   trip’s alignment to the Core                                               Resolution for Board Action (including issuance of the
   Curriculum Content Standards                                               Agenda Item Action Numbe r) and submits to Educational
                                                                              Services



                                                                                              3. Educational Services logs in, and reviews
                                                                                              for required items

     4. Educational Services prepares preliminary
     field trip spreadsheet for Assistant
     Superintendent of Teaching and Learning



                                                                                        5. Executive Assistant in conjunction with
                                                                                        Teaching and Learning review agenda items
                                                                                        for discussion and provides Field Trip
                                                                                        Request packet for the. Curriculum
                                                                                        Committee.




6. Curriculum Committee reviews Field
Trip Request packet and makes
recommendations for approval to the                                                           7. Superintendent approves and returns to
Advisory Board                                                                                Educational Services (Executive Assistant)



      PLEASE NOTE:
 All Field Trip re quests must be submitted in time to facilitate both the administrative and Advisory Board process/approval (at least 60/90 days).
                                             Field Trip Check Off Form
School/Department:                                   Trip Destination:
                                                                        Date of Trip:
                    (To be checked off and submitted with your Field Trip Request packet)
   School          In-State Field Trip         SL          School       Out-of-State Field Trip                SLT
                To be submitted 60 days in      T                     To be submitted 90 days in
                   advance of field trip                                  advance of field trip
            Field Trip Request Form (Factoring in                   Field Trip Request Form or Overnight
            all costs, including that for bus                       Field Trip Request Form – With list of
            transportation in per person costs)                     students and chaperones (Factoring in
                                                                    all costs, including that for bus
                                                                    transportation in per person costs – If
                                                                    applicable)

            List of Chaperones                                      Bus Transportation Form (If applicable)
            Field trip attendance form                              DOE Out of State Travel form fo r each
                                                                    emp loyee – if out of state
            Bus Transportation Form (If                             Admin istrative Day for Supervision of a
            applicable)P.O.# must be indicated on                   Field Trip Request Form (Fo r
            the top of form                                         Secondary only - if applicable)
            Admin istrative Day for Supervision of a
            Field Trip Request Form (Fo r Secondary
            only - if applicable)                                   TR1 – for each empl oyee
            Requisition for Admissions                              List of Chaperones
            with supporting documentation (If
            applicable)
            Requisition for food (if applicable)                    Field trip attendance form
                                                                    Requisition for Admissions (If
            Principal Signatures                                    applicable) - with backup
            Assistant Superintendent or                             documentation
            Department Head Signatures
            Trip Description                                        Requisition for food for
                                                                    students/parents (if applicable)
                                                                    Travel requisitions (if overnight) –
                                                                    Hotel, Rail/Air
                                                                    Requisition/s for reimbursement fo r
                                                                    NPS employees – for meals, etc.
                                                                    Principal Signatures
                                                                    Assistant Superintendent or
                                                                    Department Head Signatures
                                                                    Trip Description


            FOR SLT ONLY:                                           OR SLT ONLY:

            Resolution prepared                                     Resolution prepared

            Agenda Item Action Number                               Agenda Item Action Number
            generated                                               generated




                              Changing Hearts and Minds to Value Education
                             FIELD TRIP EVALUATION FORM
Day of Trip ______________________________________________Date of Trip_________________

Field Trip Destination__________________________________________________________________

Contractor ___________________________________________________________________________

           Number and Type of Vehicles: School Bus________________________________________
                                           Coach Bus________________________________________
                                           Van_____________________________________________

What time were vehicles scheduled to arrive at departing location _____________________________

Did vehicle arrive on time                   Yes_____             No_____

Condition/Performance of Vehicle:

Inte rior Clean                              Yes_____             No_____

Exterior Clean                               Yes_____             No_____

Was current inspection sticker displayed     Yes____              No_____
On windshield

Did vehicle(s) experience mechanical
Proble ms during the trip                    Yes_____             No_____

Please report any concerns or complaints about the service provided by the contractor:




Completed by: ____________________________Title___________________________




                         Changing Hearts and Minds to Value Education
NEWARK PUBLIC SCHOOLS                                                                   NEWARK, NEW JERSEY



Date_________________________________                       School________________________________
Trip to_________________________________________________________________________
Pupil’s Name____________________________________________________________________

It is hereby requested that the above mentioned pupil be permitted to take this trip, and in consideration of such
permission, it is agreed by the undersigned as follows:
              Neither the District nor any of its employees shall assume any responsibility for any
              intentional conduct of the students that result in a claim arising out this trip. All claims for
              intentional conduct are hereby waived. The undersigned will indemnify and save harmless
              the District and its employees from liability for claims arising out of intentional and/or
              contributorally negligent conduct of the student and as against the District and its agents
              and employees. “Trip” includes the period between the time when the pupil leaves the
              school and returns home.


                                                                  Parent/Guardian

   Form 23-A-Rev. 86                                              Parent/Guardian
   50-116
                                                                  Student




                                  Changing Hearts and Minds to Value Education
                       FIELD TRIP ATTENDANCE FORMS

       _____________________________________________________
                         NAME OF SCHOOL

                      ____________________________________
                                     DATE

Copies of this form must be completed in triplicate for all trips. The sponsor is to retain one copy; the
principal is to retain one copy prior to trip and one copy is to be submitted to the Assistant
Superintendent. Return attendance must be recorded and checked before students are dismissed.

             Trip                                                          Destination:
             ________________________________________________________________

             CONTACT PERSON: ________________________________TELEPHONE #


   Trip      NAME OF PARTICIPANTS                  TELEPHONE #                       ADDRESS
   #




                              Changing Hearts and Minds to Value Education
                          LIST OF CHAPERONES

School_________________________Destination___________________________Date__________

CONTACT PERSON: _______________________________TELEPHONE #
___________________________

      NAME OF PARTICIPANTS               TELEPHONE #                    ADDRESS




          Exhibit II

                        Changing Hearts and Minds to Value Education
                                                                                                        File Code: 5114

                                    NEWARK PUBLIC SCHOOLS
                                         NEWARK, NEW JERSEY

                               STAFF INCIDENT REPORT
                                                     FORM
                          (To be completed by school employee and submitted to Principal)



SCHOOL ______________________                                                      DATE

Trip Destination:

Date of Incident_________________ Time of Incident_____________

Reported by____________________                                       Position____________________

Reported to____________________                                       Position____________________

Names of individuals involved (if any):



 Description of incident:




Action taken (if any):


Submitted by _______________________Date______________________

                                                               __________________Principal’s Signature

6A:16-5.3 Incident reporting of violence, vandalism and substance abuse
a)   Any school employee who observes or has direct knowledge from a participant or victim of an act of violence or the
     possession or distribution of substances, and any school employee who reports a students for being under the influence of
     alcohol or other drugs, according to the requirements of N.J.S.A.18A:40A-12 and N.J.A.C. 6A:16-4.3, shall file a report
     describing the incident to the school Princi pal on a form adopted for such purposes by the district board of education.




                       Changing Hearts and Minds to Value Education
                                                   The Newark Public Schools
                                             Office of the State District Superintendent
                                                           2 Cedar St reet
                                                 Newark, New Jersey 07102-3091
                                                       Phone: 973-733-7333
                                                      Fax: 973-733-6834
  Dr. Clifford B . Janey                                                                                       Lucille E. Davy
State District Superintendent                                                                            Co mmissioner of Education


                                Administrative Day for Supervision of a Field Trip Form


           SCHOOL/DEPARTMENT________________________________DATE____________

           TITLE OF FIELD TRIP__________________________________________________

           Date of Field Trip: ________________________Time: __________________________

           Purpose of Field Trip:
           ______________________________________________________
           ________________________________________________________________________
           _
           ________________________________________________________________________
           _
           ________________________________________________________________________
           _
           Names of Participant(s)                                         Position/Title

           _____________________________________ / _________________________________

           ____________________________________ / __________________________________

           ___________________________________ / ___________________________________

           CLASS COVERAGE REQUIRED: ________________________

           CLASSROOM COVERAGE NOT REQUIRED: -_____________

           PLEASE NOTE: A ll requests must be typewritten and have attached documentation, (Student list must
           be included). All requests must be submitted to the SLT office as part of the Field Trip request packet.
           Requests must be submitted in duplicate. Requests which have not been approved by the principal will not
           be considered.

           _____________________________                       ________________________________
           Principal/Department Head                                 Assistant Superintendent


                                 Changing Hearts and Minds to Value Education
                                                   The Newark Public Schools
                                            Office of the State District Superintendent
                                                           2 Cedar Street
                                                 Newark, New Jersey 07102-3091
                                                       Phone: 973-733-7333
                                                              Fax: 973-733-6834
      Dr. Clifford B. Janey                                                                                    Lucille E. Davy
State District Superintendent                                                                              Commissioner of Education
 Dr. Josephine McDowell
  Executive Assistant


                                          IN-STATE FIELD TRIP
                                            REJECTION FORM

         Date_________________________School_______________________________

         Principal ________________________Departme nt_________________________

         Trip to______________________________ Date of Trip ________________________

         The following paperwork is missing/incomplete and required to be corrected from
         your location (In State) field trip packet:

         ____ Field Trip Check Off Form
         ____ Field Trip Request Form
         ____ List of Chape rones
         ____ Field Trip Attendance Form
         ____ Bus Transportation Form (encumbrance form or funding source)
              Bus Transportation PO Numbe r
         ____ Bus Transportation Trip Description
         ____ Request for Admissions (with s upporting documentation)
         ____ Food Requisition
         ____ Signature form (must be signed by Principal/Assistant Superintendent
         ____ Trip Description Form must indicate NJCCCS Codes; preplanning; follow-up,
         evaluation
         ____ Attachme nt of Lesson Plan

         Please RETURN the entire packet including the above checked ite ms back to the
         SLT’s Office by ______________________________.
         Note: If the packet is not received completed and corrected in S LT office by the above return date, your field
         trip may be denied.

         If you have any questions, please contact Dr. McDowell (ext. 8195) or Mrs. Hammond (ext 6963)




                              Changing Hearts and Minds to Value Education
                                                   The Newark Public Schools
                                            Office of the State District Superintendent
                                                           2 Cedar Street
                                                 Newark, New Jersey 07102-3091
                                                       Phone: 973-733-7333
                                                  Fax: 973-733-6834
      Dr. Clifford B. Janey                                                                                     Lucille E. Davy
State District Superintendent                                                                              Commissioner of Education
 Dr. Josephine McDowell
  Executive Assistant


                                     OUT OF-STATE FIELD TRIP
                                        REJECTION FORM

         Date_________________________School_______________________________

         Principal ________________________Departme nt_________________________

         Trip to______________________________ Date of Trip ________________________

         The following paperwork is missing/incomplete and required to be corrected from
         your location (In State) field trip packet:

         ____ Field Trip Check Off Form
         ____ Field Trip Request Form
         ____ List of Chape rones
         ____ Field trip attendance form
         ____ Bus Transportation Form (encumbrance form or funding source)
              Bus Transportation PO number
         ____ Request for Admissions (with s upporting documentation)
              Bus Transportation Trip Description
         ____ Food Requisitions
         ____ Signature form (must be signed by Principal & Assistant Superintendent)
         ____ Trip Description Form must indicate NJCCCS Codes; preplanning; follow-up,
         evaluation

         Please RETURN the entire packet including the above checked ite ms back to the
         SLT Office by ______________________________.
         Note: If the packet is not received completed and corrected in S LT office by the above return date, your field
         trip may be denied.


         If you have any questions, please contact Dr. McDowell (e xt. 8195) or Mrs. Hammond (ext 6963)




                              Changing Hearts and Minds to Value Education
                                             The Newark Public Schools
                                      Office of the State District Superintendent
                                                     2 Cedar Street
                                          Newark, New Jersey 07102-3091
                                                Phone: 973-733-7333
                                                   Fax: 973-733-6834
 Dr. Clifford B. Janey                                                                    Lucille E. Davy
State District Superintendent                                                       Commissioner of Education




          MEMORANDUM TO:                PRINCIPAL/ DEPARTMENT HEAD
                                        SCHOOL:
                                        DEPARTMENT:

          FROM:                         DR. JOSEPHINE MCDOWELL
                                        EXECUTIVE ASSISTANT

          DATE:


          SUBJECT:                      FIELD TRIPS


          The attached field trip request is being denied due to the following:


          __________     Late submission

          __________     Incomplete packet
          __________     Unable to use district funds to cover cost

          __________     Trip Description Lesson Plans, Required Signatures, Attendance,
                         Chaperones, Transportation, and Requisition
          __________     Other


          ________________________________________________________________________
          ________________________________________________________________________
          ________________________________________________________________________
          __________________



          Attachments

                           Changing Hearts and Minds to Value Education
                                                     AGENDA ACTION ITEM NUMBER

                                                   ________________________________
                                                        For SLT Use Only

                                      FIELD TRIP REQUEST FORM
DATE OF REQUES T: _______________                            REQUIS ITION(S ) ATTACHED: YES
                                             FORM TR-1 ATTACHED: YES

       SCHOOL: _____________________________________________ PRINCIPAL: __________________________

       GRADE(S ): __________ NUMBER OF C LAS S ES :________ TEACHER(S ): ____________________________

       DES TINATION: ____________________________________________________ CITY ______________S T. ___
       DATE OF TRIP: ______________________________________DURATION OF TRIP: ____________________
       N AME AND A DDRESS O F TRANSPORTATION CO MPAN Y (IF NOT TRH OUG H PUPIL TRANSPORTATION ) : _____________
       PLEASE NO TE: The principal shall attach the following information if the transportation company is not on approved list: (1)
       ce rtificate of automobile liability insurance in the amount of at least $3,000,000 combined single limit, naming the Newark Public
       Schools as additional insured and also furnish documentation of uninsured/underinsured motorist coverage with a limit of not less
       than $3,000,000 combined single limit: and (2) copy of driver’s most recent motor vehicle record which is on file with the
       transportation company and driver’s license.

  TIME OF DEPARTURE: ______________ D EPARTURE TIME FROM FIELD TRIP LOCATION:_________________

  TRIP FINANCED:       With District Funds _________           With Donations _________           No Costs ___________

  NO. OF PUPILS : ________________________________ COS T PER PUPIL: _____________________________________

  NO. OF TEACHERS : ____________________________ COS T PER TEACHER: _________________________________

  NO. OF ADULTS : _______________________________ COS T PER ADULT: ___________________________________

                                                TOTAL TRANS PORTATION COS T: ________________________________

  TOTAL ATTENDEES : __________________________ TOTAL COS T: _________________________________________


       TRIP DESCRIPTION:             Please use additional sheets if necessary, and attach all supporting
       documentation: copy of lesson plan, pre-planning, follow-up, and evaluation.
       (Please attach copies)
                Include Correlation to the Core Curriculum Content Sta ndards,
                subject relatedness pre-planning:
                follow-up:
                evaluation:


       Approved: __________________________________________________                                              _____
                             Principal                                                                           Date
       Approved: _________________________________________________                                               _____
                      Assistant Superintendent                                                                   Date
       Approved:__________________________________________________                                               _____
                         Superintendents                                                                         Date
       PLEASE SUBMIT IN DUPLICATE AT LEAST 60 DAYS PRIOR TO THE DATE OF THE TRIP. A
       SEPARATE REQUISITION MUST BE SUBMITTED FOR ADMISSION TICKETS.




                              Changing Hearts and Minds to Value Education
                             All Forms Must be Faxed to (973) 733-7122

                                                               Job Requisition #

  Date of Request                                             (AKA Requisition #)

  Day of Trip                                                 Date of Trip :

  Contact Person:                                             Telephone and Fax #

  Field Trip Destination:

  Address:

  School / Location:


  Departure Time fro m School / Location:       .
  Nu mber of students attending:

  Nu mber of staff/teachers/parents/chaperones attending field trip :
                                                             Total

  Departure time fro m destination:

  Nu mber of vehicle(s):                            Type of vehicles: School Bus        Van
                                                                                        Coach Bus
  ______________________________________________________________________________________
  _________________
  PLEAS E NOTE: The princi pal shall attach the followi ng informati on if the trans portation company
  is not on the approved list. (1) Certificate of automobile liability Insurance in the amount of at least
  $3,000,000 combined single limit nami ng Newark Public Schools as additi on ional insured and also
  furnish documentation of uninsured/underinsured motorist coverage with li mit of not less than
  $3,000,000 combined a single limit and (2 ) a copy of dri ver’s must recent motor vehicle record which
  is on file wi th transportation company and dri ver’s license.

  Trip Description: (Include subject relatedness , pre-planning, follow-up and evaluation)




  Approved:_________________________________________
              (Type name in) Principal

  Approved:___________________________Disapproved____________________________________
             Assistant Superintendent             Assistant Superintendent

  Signature (IF OVERNIGHT STA Y IS REQUIRED): _______________________________Superintendent


TO BE USED BY THE ESSEX COUNTY SERVICES COMMISSION ONLY:
COST : $___________________________________________________

CONT RACTOR: _____________________________________________________________________________________________________
                       Changing Hearts and Minds to Value Education
CONT ACT INFORMATION: ___________________________________________________________ _______________________________
                                                      BUS INCIDENT REPORT TO PARENTS
                                                                            THE NEWARK PUBLIC SCHOOLS
                                                                                NEWARK, NJ 07102-3091

Dear Parents/Guardians:                                                                                                                              Date:_____________

The Purpose of this report is to inform you of a d isciplinary incident involving the school bus, which may have jeopardized t he safety and well-being of all students.
You are urged to both appreciate the action taken by the driver and to cooperate with the corrective action in itiated today by the School District.
______________________________________has been cited for an infract ion of the rules listed below:

Infraction:
__ Imp roper Boarding/Departing Procedures               ___ Hanging Out Of Window                               ___ Tampering With Bus Equip ment

___ Bringing Art icles Aboard Bus Of Injurious or                 ___ Throwing Objects In or Out Of Bus          ___ Rude, Discourteous, & Annoying
    Objectionable Nature                                                                                      Conduct
___Failure To Remain Seated                                       ___ Lighting Matches/Smoking On The Bus ___ Destruction Of Property
___ Refusing To Obey Driver

__ Unnecessary Noise                                              ___ Other Behavior Relating To Safety, Well-Being And Respect For Other

S PECIFIC
DETAILS :____________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________
_________________________________________________
PREVIOUS WARNINGS ___ REPORTED 1ST OFFENSE ___            REPORTED 2ND OFFENSE ___        REPORTED 3RD OFFENSE

DIS CIPLIN ARY ACTION BEING
TAKEN:______________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________
_______________________________________
Bus riding is a privilege which may be revoked. Parents are urged to appreciate the disciplinary action taken and to discuss this to preven t further occu rrence.



         S chool student is transported to or from:          S tudent Information:                                     Class/Grade:          Date of Incident:
                                                             Name(s)


                                                             Address:                                                  Bus #                 Trip:
         ______________________________________
                                                             Phone #:                                                  Driver:               A.M.                          P.M.




[Parent Copy]                                    Authorized Signature _____________________________                               Title ________________________


                                                             Changing Hearts and Minds to Value Education
1
                                  THE NEWARK PUBLIC SCHOOLS
                                     NEWARK, NEW JERSEY
                               OVERNIGHT FIELD TRIP REQUEST FORM

    The State District Superintendent proposes the following trip:
    SCHOOL: ____________________________ PRINCIPAL: ____________ _____________

    GRA DE/SUBJECT: ____________ NO. OF CLASSES: _________________________

    TEA CHER/ POSITION TITLE: ___________________ __________________________

    DESTINATION: _____________________________________________ _________________________

    DATE OF TRIP: ____________________________ DURATION OF TRIP: ______________________

    TIM E OF DEPARTURE: ____________________ TIME OF RETURN: _________________________

    TRANSPORTATION COMPA NY: _____________________________________ __________________

    NOTE: The principal shall attach the follo wing informat ion if the transportation company is not on
    approved list: (1) cert ificate of auto mobile liability insurance in the amount of at least $5,000,000.00
    combined single limit, naming the Newark Public Schools as additional insured and also furnish
    documentation of uninsured/underinsured motorist coverage with a limit o f not less than $5,000,000.00
    combined single limit; (2) copy of driver’s most recent motor vehicle record which is on fi le with the
    transportation company and driver’s license.

    INSURANCE COMPA NY: ______________________________________________________________

    INSURANCE COVERA GE: _____________________________________________________________

    NO. OF BUSES REQUIRED: ____________________________________________________________

    TRIP FINANCED: With District Funds _________ With Donations _________ No Costs _________

    NO. OF STUDENTS: _____ Cost Per Student_______ TOTAL COST FOR STUDENTS: ________

    NO. OF TEA CHERS: _____ ________________COST TO TEA CHERS: _____________ ______

    NO. OF PARENTS: _____________________ COST TO PA RENTS: ________________________

    TOTA L: _________________________ TOTAL: ____________________

    STUDENT POPULATION: ______________ SUBSTITUTE DA YS: _____________ __________

    HOTEL: ________________________ _ ________________________________________________
    _____________________________________________________________________________________

    ACCOM ODATIONS: Attach a list of chaperones with hotel roo m and floor assig nments, (include name,
    address and telephone number of hotel)




                                           AGENDA ACTION ITEM NUMBER
                                         ________________________________
                                                  For SLT Use Only




                        Changing Hearts and Minds to Value Education
2   Date of Trip                             Agenda Action #________________________

    TRIP DESCRIPTION:
    Correlation to CCCS
    Pre-Planning
    Follow-up
    Evaluation
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________
    __________________________________________________________________________________




                   Changing Hearts and Minds to Value Education
FIELD TRIP ATTENDANCE FORMS
_________________________________________________________________

NAME OF SCHOOL
_________________________________________________________________
DATE
Copies of this form must be completed in triplicate for all trips. The sponsor is to retain one copy; the
principal is to retain one copy prior to trip and one copy is to be submitted to the Assistant
Superintendent. Return attendance must be recorded prior to school and checked before students are
dismissed.


Trip Destination: ______________________________________________________________________

CONTACT PERSON: ________________________________TELEPHONE # ____________________
NAME OF PARTICIPANTS TELEPHONE # ADDRESS


CONTACT PERSON: ________________________________TELEPHONE # ____________________
NAME OF PARTICIPANTS TELEPHONE # ADDRESS

LIST
OF CHAPERONES
CONTACT PERSON: ________________________________TELEPHONE # ____________________


NAME OF PARTICIPANTS TELEPHONE # ADDRESS




                Changing Hearts and Minds to Value Education
6
FIELD TRIP: ____________________SCHOOL: _____________________ DATE: ________________



Prepared by:



_________________________________________________________ DATE: ____________________



Approved by:



__________________________________________________________DATE: ____________________
Principal



__________________________________________________________DATE: ____________________
Assistant Superintendent


Reviewed by:

_________________________________________________________ DATE: ____________________
Educational Services/Executive Assistant


_________________________________________________________ DATE: ____________________
Dr. Clifford B. Janey, Superintendent of Newark Public Schools




               Changing Hearts and Minds to Value Education
Changing Hearts and Minds to Value Education

				
DOCUMENT INFO
Shared By:
Categories:
Stats:
views:102
posted:4/16/2011
language:English
pages:26