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Run: Field Trip Request, Approval, and Risk Assessment Form

This Field Trip Request, Approval, and Risk Assessment Form captures the trip purpose, logistics, supervision plan, and hazards in one place so administrator...

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Submission Notice

Requester Name (required)

Requester Email (required)

Department or Program (required)

Acknowledgment (required)

Yes No N/A

Trip Overview

Trip Title (required)

Trip Purpose (required)

Trip Type (required)

Destination Name (required)

Destination Address (required)

Trip Date (required)

Logistics and Transportation

Departure Date and Time (required)

Return Date and Time (required)

Transportation Method (required)

Itinerary Summary (required)

Estimated Cost per Participant

Supervision and Chaperone Plan

Expected Participant Count (required)

Required Chaperone Ratio (required)

Enter the required ratio in a format such as 1:10.

Planned Chaperone Count (required)

Lead Chaperone Name (required)

Additional Supervision Notes

Risk Assessment

Overall Risk Level (required)

Known Risk Factors (required)

Risk Mitigation Measures (required)

Emergency Response Plan (required)

Does this trip require medical support or accommodation planning? (required)

Medical or Accommodation Details (required)

Approvals and Acknowledgment

Supervisor Name (required)

Supervisor Signature (required)

Submission Notes

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Email (required)

Your name (optional)

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