Form A - Educational Visits Application Form

Category A Visit

Staff Name Staff Name First Last
Staff Code
Department
Please state/describe the activity:
Explain the educational value/objective of the visit:
Please state any likely health & safety issues:
State actions that you will take to address health & safety issues mentioned above:
Year Group

Year Group Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7
Checkboxes

Checkboxes Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7
Date of Visit Date of Visit / DD / MM YYYY
Approximate Departure Time from school Approximate Departure Time from school : HH MM AM/PM
Approximate Arrival Time back to school Approximate Arrival Time back to school : HH MM AM/PM
Transport Arrangements
Should you want a copy of this application form enter your email address here.
Names of accompanying staff
Signed by visit organizer

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Office Use.

The information below will be completed by the Assistant Head i/c of Educational Visits. Please click submit.
Thank you for your submission
Upon review of the submitted form the Assistant Head i/c of Trips will grant or deny approval

Upon review of the submitted form the Assistant Head i/c of Trips will grant or deny approval Granted Denied
Assistant Head i/c Educational trips comments
Signed by Assistant Head i/c of Educational Visits