Champaign Unit 4 School District
Franklin Middle School Field Trip Bus Request Form
Requests must be submitted at least 10 full school day(s) before the date of the field trip.
Date of Field Trip
*
Name of Field Trip
*
Destination (include Address)
*
Name of Team, Group, Club or Organization:
*
Requested by:
*
Department to Pay for Mileage:
*
Departure and Arrival Information
Origin to Destination (please include departure time and arrival time)
*
Destination to Origin (Please include departure time and arrival time)
*
Field Trip Information
Adults attending:
*
Students attending:
*
Special Needs Students attending:
*
(only count students who have special transportation needs)
Students in Wheel Chairs:
*
Equipment:
Buses Requested:
*
1
2
3
4
5
6
7
8
9
10
Comments/Special Instructions
For School Administration:
For Transportation Dept./Bus Driver:
Submit
Should be Empty: