Stanfield Elementary School District

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Stanfield Elementary - Where Students Come First!

STANFIELD ELEMENTARY SCHOOL DISTRICT #24

515 S. Stanfield Rd., Stanfield, AZ 85272

2008-2009

Field Trip / Transportation Requisition

All requests for transportation must be submitted to the Administration Office no less than 30 days prior to the time transportation is desired. Failure to comply may result in denial of such request.

Date of Request: __________ Requested by: _______________________

In case of any questions, contact ________________________ at ___________________

Destination: _____________________________________________________________

(Exact name of organization)

Complete Address: ________________________________________________________

(Exact address of organization, including zip code)

Itinerary: ____________________________________________________________________________________________________________________________________

Educational Justification: _____________________________________________________________

_____________________________________________________________

Cost of Admission: __________________ Boxed Lunches Requested: YES NO

Number of Boxed Lunches: _______ Other Costs: $__________ for _____________

(Requestor must give copy of form to Cafeteria Manager)

Vehicle (Van) Request

Date(s) Needed: From: ___________________ To: ___________________ Total # of days:_____

Pick Up Date & Time: _______________________ Return Date & Time: _______________________

Transportation needed for _______ person(s) Number of van(s) required: _________Cost of Transportation (If necessary): ________________________

Bus Request

Date(s) Needed: From: ___________________ To: ___________________ Total # of days:_____

(From School) Load Time: ____________ Depart Time: _____________ Arrival Time: ________

(From Destination) Load Time: __________ Depart Time: _____________ Arrival Time: ________

Transportation needed for _______students & ________ adults. Number of buses required: __________Cost of Transportation (If necessary): _______________________

Approved

Denied _____________________________________ _____________

(Principal / Supervisor Signature) Date

Approved

Denied ______________________________________ _____________

(Superintendent / Business Manager Signature) Date

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