Revised 8/15 PATERSON PUBLIC SCHOOL DISTRICT PATERSON PUBLIC SCHOOLS FIELD TRIP REQUESTS SCHOOL: (Check One) DATE: Unit I – Dr. Linda Crescione Unit II – Ms. Maria Santa Unit III – Ms. Elaine Davis School No. 1 School No. 2 School No. 4/DFN School No. 5 School No. 6 School No. 7 School No. 10 School No. 13 School No. 18 School No. 20 School No. 21 School No. 24 School No. 25 School No. 26 School No. 28 Edward W. Kilpatrick New Roberto Clemente Roberto Clemente School No. 3 School No. 8 School No. 9 School No. 11 School No. 12 School No. 14 School No. 15/Madison K School No. 19 School No. 27 School No. 29 Alexander Hamilton Academy Dale Avenue Don Bosco Tech Early Learning Center Norman S. Weir Martin Luther King, Jr. St. Mary’s Early Learning Center Urban Leadership Academy E.H.S. Academies Culinary Arts, Hospitality & Tourism Government & Public Administration School of Technology H.A.R.P. International High School Garrett Morgan P.A.N.T.H.E.R. Academy Rosa L. Parks HS of Fine & Performing Arts S.T.A.R.S. John F. Kennedy Academies Architecture & Construction Trade Business Technology, Marketing & Finance Education & Training STEM Alternative Education Destiny Academy Alternative Middle School Great Falls Academy ROADS Silk City 2000 Y.E.S. Academy SEND THREE (3) COPIES TO OFFICE OF ASSISTANT SUPERINTENDENT AT LEAST TWO WEEKS IN ADVANCE OF THE PROPOSED DATE OF THE FIELD TRIP. ATTACH A COPY OF INFORMATION CONCERNING THIS ACTIVITY. (flyer, announcement, invitations, etc.) CERTIFICATED STAFF MUST ATTEND. * ALL FIELD TRIP REQUEST MUST HAVE A FIELD TRIP JUSTIFICATION FORM ATTACHED. Grade (s)/classification(s) Individuals in Charge First Name Last Name Position First Name Last Name Position Date of Trip: Total Cost $ Cost per Pupil $ Account # ________________________________________________________________________________________________________ Conveyance (public carriers only) Name of company: Place to be visited (Organizations) complete address: How is field trip related to class work and/or curriculum? Educational follow-up planned Place of Departure Place of return: Time of Departure Time of return: Approximate number making trip: (students) (teachers) (other adults) Signature of responsible leader’s Approved by: Vice Principal Principal Assistant Superintendent Revised 7/14 Field Trip Justification Form Teacher’s Name: Grade Level: School/Academy: Objective of Field Trip: NJCCCS Related to Field trip/Indicator number and brief description: Content/Concept Field trip pertains to: Educational follow-up Activities: reRevised 12/1/ ReviRe6/27/20167:45:50 PM