Field Trip Request, Approval, and Risk Assessment Form

Documents the purpose, logistics, supervision plan, and risk assessment for a field trip so administrators can review and approve the request.

Submission Notice

• Requester Name
• Requester Email
• Department or Program
• Acknowledgment

Trip Overview

• Trip Title
• Trip Purpose
• Trip Type
• Destination Name
• Destination Address
• Trip Date

Logistics and Transportation

• Departure Date and Time
• Return Date and Time
• Transportation Method
• Itinerary Summary
• Estimated Cost per Participant

Supervision and Chaperone Plan

• Expected Participant Count
• Required Chaperone Ratio
  Enter the required ratio in a format such as 1:10.
• Planned Chaperone Count
• Lead Chaperone Name
• Additional Supervision Notes

Risk Assessment

• Overall Risk Level
• Known Risk Factors
• Risk Mitigation Measures
• Emergency Response Plan
• Does this trip require medical support or accommodation planning?
• Medical or Accommodation Details

Approvals and Acknowledgment

• Supervisor Name
• Supervisor Signature
• Submission Notes