Field Trip Request Form

IMPORTANT INFORMATION BEFORE FILLING OUT THIS FORM!

If you are requesting a TOCC vehicle, make sure you filled out the TOCC Authorization for Business Use of GSA/College Vehicles form to upload to this form.

If your field trip interferes with other courses, make sure you had your students complete the Academic Standing Form to miss their other courses to upload to this form.

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* 1. Instructor's Name

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* 2. Course Name (ex. Writing I)

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* 3. Course prefix w/ Section (ex. WRT 101-3)

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* 4. Number of students in class?

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* 5. Destination of field trip.

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* 6. How does the field trip and activities of field trip promote the learning goals and objectives of the course?

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* 7. Date of Field trip.

Date / Time

Date

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* 8. Leave time and return time

Leave Time

Return Time

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* 9. Which applies to transportation?

Students will be providing their own transportation to and from the location.

A TOCC vehicle has been requested (complete Question 10)

A student or a couple of students will be carpooling (complete Question 11)

I will be providing transportation (complete Question 12)

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* 10. Upload the completed: TOCC vehicle, make sure you filled out the TOCC Authorization for Business Use of GSA/College Vehicles form

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 11. Students who are carpooling or student who has volunteered to transport students. As the faculty member have you verified the student's car insurance coverage?

Yes, I have verified the coverage and it is up to date and current.

No, I understand that I will need to verify coverage before the feild trip date.

Not applicable

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* 12. Faculty providing transportation.

I have spoken with the Dean of Academics and have approval to use my own vehicle without mileage reimbursement.

I have spoken with the Dean of Academics and have approval to use my own vehicle with mileage reimbursement.

I have not spoken with the Dean of Academics and I understand that before transporting students with my personal vehicle for official TOCC business I need to notify the Dean and get approval from the Dean's office.

Not Applicable

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* 13. Does the field trip overlap with other courses at TOCC?

Yes (complete question 14)

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* 14. If your field trip overlaps with other courses students taking those courses must complete a Good Academic Standing form. This form must be uploaded here.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 15. Is the field trip a required component of the course, approved by the Faculty Curriculum Process, and listed in the course description?

Yes

No - make sure if canceling a class for field trip students are provided an alternative assignment in lieu of going to field trip if they choose not to attend.