Field Trip Request Form

Field Trip Request Form

Teaching, Learning, and Student Development
Submission Date

MonthDayYear
Field Trip Type
Name of Field Trip or Event
Requester Name

First NameLast Name
Requester's ECC-Issued Email
Please enter your work email.
Department
Division
Direct Supervisor Name

First NameLast Name
Direct Supervisor Email
Budget Officer Name

First NameLast Name
Budget Officer ECC Issued Email
Group Type

Other
Is this a Club?
List ECC Course or Program
Student Organization
If your club is not listed please choose "Other"
Associate Vice President of Student Services and Development

First NameLast Name
Associate Vice President of Student Services and Development ECC Issued Email
Name of Coach

First NameLast Name
Coach's ECC Issued Email
Name of Trip Leader (designated ECC employee) or Coach if Athletics

First NameLast Name
Trip Leader or Coach's ECC Issued Email

Field Trip Departure/Arrival