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HICA Field Trip Application Form - Exhibit 1

Timelines for Approval In Principle:

  1. Out of Country (to Board) - at least 5 months before trip.
  2. Beyond 1000 km (to Superintendent) - at least 3 months before trip.   (see attached)
  3. Extra curricular applications (to Superintendent) – 1 month before Board meeting

School


1.   Names of Sponsoring Teaching Staff:


2.   Date(s) of Proposed Trip:


3.   Destination of Proposed Trip:

Distance: 

a.

b.

c..

d.


4.   Category of Trip:      

Curricular:

Co-Curricular:

Extra Curricular:

Educational Summary

Yes

No

Attached ?

Yes

No


5.   Purpose of Trip:


6.   Number and Age/Grade Level of Students


7.   Provisions made for special needs students and/or students with medical needs:


8.   Means of Travel:


9.   Trip Itinerary (Attach a Detailed Itinerary):


10.   Financing of Trip (Attached Details Proposed Budget - How Will Trip be Financed?)


11.   Supervisors:


12.   Outline process for informing parents:


13.   Other



Signature

Date Submitted

Comments:



Principal’s Signature

Date Approved

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