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    EVERETT PUBLIC SCHOOLS
    FOR TRANSPORTATION
    USE ONLY
    Transportation Code:
    FIELD TRIP REQUEST
    Distribution:
    ?
    Principal
    ?
    Health Room
    ?
    School Kitchen Manager
    ?
    Transportation
    Department
    Trip Date(s):
    Trip Category: (circle)
    1
    2
    3
    School:
    Adults
    Classes or groups:
    Students
    Coordinating Staff Member(s):
    Total
    Destination:
    Address:
    Educational Objectives of Trip:
    Special Transportation Instructions:
    Budget Code to Charge:
    .
    .
    .
    .
    ?
    District Bus
    ?
    Commercial Transportation
    ?
    District Vehicle
    ?
    Other:
    ?
    No District Transportation Provided (parent/guardian arranged transportation)
    Departure Times
    Return Times
    Date Requested:
    Date Requested:
    Arrive at School:
    [ ] AM [ ] PM
    Leave Destination:
    [ ] AM [ ] PM
    Leave School:
    [ ] AM [ ] PM
    Return to School:
    [ ] AM [ ] PM
    Name of Staff for whom
    Substitute is Needed:
    Name of Substitute
    Requested:
    Date
    Needed:
    Grade/Subject
    [ ] Full [ ] AM [ ] PM
    [ ] Full [ ] AM [ ] PM
    [ ] Full [ ] AM [ ] PM
    Submitted by
    Date
    Supv/Coord/Principal
    Date
    Transportation Supervisor
    Date

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