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8 Field Trip and School Permission Forms to Make Your Life Easier

Because who has time to reinvent the wheel?

School Permission Forms Templates

While some schools may be lucky enough to have transitioned to electronic permission slips, many are still relying on the same photocopies that they’ve had for years. Thankfully, we’ve got some spiffy new school permission forms templates to help you retire your old forms without too much heavy lifting.

1. Class Party or Project

uisd field trip form

When you’re planning a class party or project, this template is a great start. You can use it as is to address any concerns about allergies or adjust it to collect other information, like supply donations or even available volunteers.

Edit (doc)  |  Print (pdf)

2. School Dances

uisd field trip form

There comes a time in each student’s life when they’re presented with the opportunity to get down and funky with a group of their peers. At that time, it falls on many an adult to help students manage responsibilities and expectations. This permission slip helps do just that with student, guest, and guardian signatures, and much more.

Edit (doc)  | Print (pdf)

3. Movies and Other Media

uisd field trip form

With all of the digital learning resources available nowadays, you may think permission slips for these tools are no longer necessary. As mindful as you may be in making your selections, you still might want to solicit specific approval for certain content. This quick and easy form is the way to do it.

Edit (doc) |  Print (pdf)

uisd field trip form

Speaking of potentially sensitive content, sex ed likely requires permission, no matter what it’s called, what grade it’s for, or what class it’ll be in. In addition to documenting approval, this form provides information parents and guardians are sure to find useful before their student participates in any discussions.

5. Extracurricular Transportation

uisd field trip form

Kids today have an amazing number of options available when it comes to extracurricular activities—and just as many when it comes to getting to and from them. Coaches, leaders, and other staff will love having this form at the ready to get transportation permissions on file in record time.

6. Field Trip Lite

uisd field trip form

This is a great field trip permission slip without all the fuss. Just enter the facts and send it on its way.

7. Field Trip Plus

uisd field trip form

For those who sleep a little more easily at night when they have a bit of legalese covering their backsides, the additions in this two-pager may be the better choice. Plus, the added room in the layout gives you plenty of space to load up on trip details, if that’s more your style.

8. Overnight Field Trip

uisd field trip form

Fair warning: This one has a lot of fine print! But what else would you expect to counter the increasing liability that comes with an overnight field trip?

What school permission forms templates should we add to this list? Let us know in the comments and we’ll create more templates!

Plus, the best field trip ideas for every age and interest (virtual options too), you might also like.

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Student Travel Packet - United Independent School District

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UNITED INDEPENDENT SCHOOL DISTRICT<br />

FIELD TRIP GUIDELINES AND PROCEDURES<br />

Field trips require careful planning. They necessitate administrative and parental/guardian approval, suitable behavior<br />

for the occasion and sufficient orientation to ensure the most effective learning outcomes. The trip should originate<br />

from a current unit of study and be appropriate for the age and maturity level of the group. <strong>Student</strong>s should understand<br />

the field trip and what is to be learned. As soon as possible after the trip, the teacher should, with the students, review<br />

and evaluate the objectives of the field trip.<br />

The participation of any staff member of a school in the conceptualization, detailed design, planning, or<br />

implementation of any trip shall define the activity as “belonging” to the <strong>District</strong>.<br />

1. TRAVEL<br />

<strong>Student</strong>s who must travel to participate in school-sponsored activities shall ride in transportation provided<br />

by the school to and from the event. In the event the parents elect an alternate mode of transportation for the<br />

student, the Parental Waiver of <strong>District</strong> Transportation and Liability form (Form 890-043) must be<br />

submitted to the sponsor for approval. FMG (LOCAL).<br />

2. TRAVEL SUPERVISION<br />

<strong>School</strong> sponsored trips shall be supervised by at least one <strong>District</strong> employee, and all trips must be supervised by at<br />

least one teacher/chaperone for every ten students. Teacher sponsors are responsible for student safety and conduct<br />

while on the trip.<br />

3. INSURANCE<br />

For all field trips, the <strong>District</strong> will require that a parent or legal guardian completely fill out the <strong>Student</strong> Medical<br />

Treatment Card for Field Trip/Out of Town Events which requests medical insurance information. In addition, the<br />

<strong>District</strong> shall require each parent or legal guardian to execute a Parental Release and Permission Form regardless of<br />

whether the parent or legal guardian provides evidence of medical insurance for his/her child.<br />

4. FIELD TRIP PROPOSAL (Exhibit A)<br />

<strong>Student</strong>s who participate in trips shall be required to sign a written Agreement of Conduct, (Exhibit B) which shall<br />

include, but shall not be limited to, designation of curfew hours, a prohibition against the possession or use of tobacco,<br />

illegal drugs and alcohol, a prohibition against unsupervised coed visitation in student rooms and the understanding<br />

that the <strong>Student</strong> Code of Conduct in addition to any campus rules of discipline shall be enforced.<br />

All out of district trips or excursions must be submitted in proposal format, which must contain, but not be limited to<br />

the following:<br />

A. A clearly defined instructional purpose for the trip.<br />

B. A defined student/chaperone supervision ratio sufficient to meet reasonable safety requirements, which shall<br />

be not less than 10:1.<br />

C. A full accounting of the cost of the activity to be managed out of the local campus budget and/or Activity<br />

Fund.<br />

D. Documented pre-approved travel, transportation, and insurance coverage plans.<br />

E. A plan for medical emergencies.<br />

F. An explanation of any activity, which may be hazardous, and what safety procedures and precaution will be<br />

taken to assure safety of students.<br />

G. Any special training necessary for staff/chaperones and verification that staff/chaperones who supervise<br />

students have such training.<br />

Revised September 2010 Page 1

5. PRINCIPAL RESPONSIBILITIES<br />

A. Ensure that the necessary travel forms are presented and prepared by the trip sponsor according to the UISD<br />

<strong>Travel</strong> Forms Checklist (Exhibit C).<br />

B. Ensure that the ratio of students to sponsors is 10:1 on any field trip.<br />

C. Ensure that persons serving as sponsors have been in-serviced on these travel procedures as well as on Board<br />

FMG (LOCAL) and DFBB (LOCAL) on an annual basis and/or whenever a staff member assumes the role of<br />

sponsor for the first time.<br />

6. SCHOOL NURSE RESPONSIBILITIES<br />

The school nurse shall provide the principal with an updated list of students who do not have parental<br />

permission allowing UISD personnel to seek medical emergency treatment for their children thus preventing<br />

them from traveling. In addition, sponsors shall have the <strong>District</strong>’s <strong>Student</strong> Medical Treatment Card for Field<br />

Trip/Out of Town Events completed and signed for each student. The sponsors shall have this information<br />

available during the field trip time frame.<br />

7. EMPLOYEE SPONSOR RESPONSIBILITIES<br />

A. Secure all approvals and notices prior to committing the <strong>District</strong> and collecting funds. This must be<br />

completed 10 days prior to the trip.<br />

B. Secure approval of the trip plans by the school principal and the appropriate Executive Director.<br />

C. Receive written approval of the Superintendent for out of state trips.<br />

D. Provide written list of potential hazards and establish written precautionary rules of conduct. Also, brief<br />

students and chaperones on the UISD <strong>Student</strong> Bus Rider Handbook.<br />

E. Provide appropriate adult supervision. Required adult supervision is one adult for every ten students.<br />

F. Inform chaperones, in writing and prior to the trip, of their full responsibilities while on the trip (Parents of<br />

<strong>District</strong> students or other community volunteers who are assigned to and/or agree to be responsible for the<br />

safety and well-being of <strong>District</strong> students for off-campus student field trips are considered as appropriate<br />

chaperones. Parent volunteers must be certified by the district).<br />

G. Secure parent/guardian permission in writing and retain in the possession of the sponsor (Exhibit D). If a<br />

student has not submitted this form, he/she shall not be allowed to travel with the group. In the event that a<br />

student must travel with a parent or legal guardian:<br />

1. Obtain a letter from the parent or guardian at least one day prior to the trip stating reasons the<br />

student will travel with parent and submit the letter to the campus principal for approval.<br />

2. Verify this information by a phone call to the parent or guardian requesting the personal travel<br />

arrangements.<br />

3. Notify the parent and student of approval or non-approval of the request.<br />

H. Secure parent or legal guardian’s completion of the <strong>Student</strong> Medical Treatment Card for Field Trip/Out of<br />

Town Events which requests medical insurance information.<br />

I. Meet with parents before an out of town, overnight trip, other than UIL, and provide them a detailed itinerary.<br />

J. Supervise the administration of student’s prescribed medication while on the trip. The sponsor must have a<br />

copy of the student’s Physician/Parent Request for Administration of Medicine or Special Procedures by<br />

<strong>School</strong> Personnel, which can be obtained from the school nurse. In addition, sponsors shall have the<br />

<strong>District</strong>’s <strong>Student</strong> Medical Treatment Card for Field Trip/Out of Town Events (Exhibit E) completed and<br />

signed for each student. The sponsors shall have this information available during the field trip time frame.<br />

K. Know what to do in the event of an accident or illness while on trip. The teacher sponsor should:<br />

1. Plan with the school nurse, what to do in case of an accident or illness before leaving on the trip.<br />

2. Render first aid for minor injuries such as minor scrapes and cuts.<br />

3. Call the local police department/emergency medical service for more serious injuries. If the<br />

emergency medical service transports the student to the hospital, accompany the student and<br />

remain with the student until the parent/guardian arrives.<br />

4. Notify the parent/guardian.<br />

5. Not assume hospital costs. This is the responsibility of the parent/guardian.<br />

6. Upon return, make a report of the accident to the principal who will provide a copy to the<br />

appropriate Executive Director.<br />

Revised September 2010 Page 2

L. Call roll when the students have boarded their assigned vehicle.<br />

M. Call roll after any stop before proceeding.<br />

N. Frequently count the number of students, such as when the group arrives and departs from each activity.<br />

Implement a buddy system for use throughout the entire trip.<br />

O. Do not leave the campus or arrival site, until all students have been delivered to parent/guardian.<br />

P. For overnight trips:<br />

1. Secure room numbers for students, chaperones, and bus driver(s).<br />

2. Prepare a list designating student groupings by room and submit to place of lodging in advance.<br />

3. File student grouping list with lodging room numbers with the principal.<br />

4. When possible, book accommodations, which provide for adult supervision in the student rooms,<br />

where such is not available, sponsors, shall book accommodations in rooms, which are in the<br />

closest available proximity to the student rooms.<br />

5. Inform participating students of emergency exits and fire extinguishers.<br />

6. Set a curfew of no later than 11:00 p.m. for students.<br />

7. Inform students of any special lodging rules and regulations.<br />

Q. Sponsors shall inform students of prohibition against the use of swimming pools and water parks or any<br />

type of recreational water activity.<br />

8. PARENT/GUARDIAN APPROVAL<br />

For each trip, the parent/guardian shall be notified of the purpose of the trip, excursion, or tour and shall complete the<br />

Parental Release and Permission form, which shall be returned to the school prior to the event<br />

Parent permission is required as follows:<br />

A. For each trip, a permission form is necessary, which should include the following information:<br />

1. Purpose(s) of the trip.<br />

2. Place to be visited.<br />

3. Date.<br />

4. Time of leaving and return.<br />

5. Parent or guardian signature.<br />

B. The following additional information may be provided to parent/guardian in writing for some trips:<br />

1. The name of the teachers/sponsors who will supervise the trip.<br />

2. Responsibility of the students.<br />

3. Cost, if any, to the student<br />

4. Special arrangements, if any.<br />

9. STUDENT RESPONSIBILITIES<br />

A. Remain at all times with their assigned chaperone.<br />

B. Not change buses/vehicles.<br />

C. Adhere to the UISD <strong>Student</strong> Bus Rider Handbook and <strong>Student</strong> Code of Conduct<br />

D. Secure transportation to their homes upon arrival back on campus.<br />

E. Not leave the lodging area unless accompanied by a designated chaperone or by special permission.<br />

F. Visit other students in their rooms provided the following guidelines are observed:<br />

1. Doors are kept open.<br />

2. The noise level must be kept low so other guests are not disturbed.<br />

3. Once the curfew arrives, students return to their designated rooms.<br />

Violations of these procedures:<br />

1. By students, shall result in disciplinary action according to the Code of Conduct.<br />

2. By school employees, shall result in a written reprimand and/or relief of sponsorship role and/or<br />

dismissal as a <strong>District</strong> employee depending on the severity of the offense according to the Board<br />

policy DFBB (LOCAL) as attached.<br />

3. By non-employees, shall result in the non-employee not being allowed to serve as a volunteer in the<br />

<strong>District</strong>.<br />

Revised September 2010 Page 3

TRAVEL FORMS CHECKLIST<br />

Campus: ________________________________<br />

Sponsor: ________________________________<br />

Date of Trip: ________________________________<br />

Destination: ________________________________<br />

COMPLETE THE FOLLOWING FORMS FOR APPROVAL:<br />

_____<strong>Travel</strong> Forms Checklist #890-007<br />

For TEKS-based instructional field trips please include (see UISD Field Trip Guidelines and<br />

Procedures.):<br />

_____Field Trip Proposal #877-029<br />

_____Field Trip Request #877-030<br />

_____<strong>Student</strong> Roster #890-011(Accepted in EXCEL format)<br />

_____Request for <strong>Travel</strong> Authorization & Payment #901-005 and 901-006<br />

Method of <strong>Student</strong> Transportation:<br />

Transportation is not being provided (No Additional Forms Required)<br />

Request for Bus Transportation #937-001(If transportation is being provided)<br />

Charter Bus<br />

Rental Vehicle<br />

Parental Waiver <strong>District</strong> Transportation and Liability #890-043 (Required if any type of transportation<br />

is being provided by school and student/s will not be on school-provided transportation)<br />

_____Purchase Requisition<br />

_____Itinerary Form #890-012 OR Schedule of Events<br />

I certify that I have the forms listed below on file for each student competing:<br />

_____Parental Permission Forms #890-009 or 890-009S<br />

_____<strong>Student</strong> <strong>Travel</strong> Agreement of Conduct #890-006<br />

_____<strong>Student</strong> Medical Treatment Card for Field Trip/Out of Town Events<br />

#881-009 or 881-009S<br />

__________________________________________<br />

Trip Sponsor or UIL Academic Coordinator’s Signature<br />

Other forms if applicable:<br />

_____Money Disbursed to <strong>Student</strong>s #901-019<br />

_____Money collected from students #901-018<br />

UISD <strong>Travel</strong> Forms Checklist Form 890-007 Approved 11/18/09 Secondary Education CTE/UIL

FffiGIIIIDRT*<br />

FIELD TRIP PROPOSAL<br />

SPONSOR NAME DESTINATION OR TITLE OF TRIP<br />

INSTRUCTIONAL PU RPOSE:<br />

STUDENT/CHAPERONE SUPERVISION RATIO:<br />

scHooL<br />

COST OF THE ACTIVITY: fro be managed out of the local campus activity accounUcampus budget)<br />

TRAVEL PLANS: (Documented)<br />

MEDICAL EMERGENCY PI.ANS:<br />

HAZARDOUS ACTIVITY: @xptain safeg procedures and precautions to be taken to assure safety of students)<br />

lS SPECIAL TRAINING FOR STAFF/CHAPERONES NEEDED? tf so, have you verified thatthey have had<br />

the training? How?<br />

PARENT/GUARDIANSHIP APPROVAL: Foreach trip, the parenUguardian shallbe notified of the purpose of<br />

the trip, excursion, or tour and shall complete lhe ParentalRelease & Permission Form, which shall be retumed to the<br />

school prior to the event.<br />

U|SD Form *877-029

FIELD TRIP REQUEST<br />

Please fill in all blanks with appropriate information or N.A. ( Not Applicable) or your request will be delayed.<br />

Teacher ______________________________________ Date of Submission __________________________<br />

Date of Trip ___________________________________ Date of Return ______________________________<br />

Approx. Time of Departure _______________________ Approx. Time of Return ______________________<br />

Activity __________________________________________________________________________________<br />

Destination ____________________________________________ Destination Phone ___________________<br />

Lodging Place _____________________________________________________________________________<br />

Address __________________________________________________________________________________<br />

Justification: (Should include reference to curriculum content area plus specific objective and skills to be developed.)<br />

For field trips to view a movie, include Title and Rating of Movie<br />

Transportation <strong>District</strong> Bus Commercial Bus Rental Other<br />

Grade Level_____________ No. of <strong>Student</strong>s_________________ No. <strong>District</strong> Buses Required____________<br />

Teacher’s Signature __________________________________________________ Date_________________<br />

Attach Request for Bus Transportaion Form for each bus required or the request for Field Trip will be delayed.<br />

To be completed by Pricipal/Supervisor To be completed by Executive Director<br />

Your request for this trip has been<br />

Approved Date ___________<br />

Denied Date ___________<br />

Reason/Remarks____________________________<br />

_________________________________________<br />

Expenditure Code or Funding Source Account Number<br />

Fund Func Object Sub Organ Year Program<br />

Principal/Supervisor Signature Executive Director Signature<br />

Date Date<br />

UISD Form #877-030<br />

Principal's Approval<br />

<strong>School</strong><br />

Trip<br />

UNITED INDEPENDENT SCHOOL DISTRIGT<br />

STUDENT FIELD TRIP REQUEST/ROSTER<br />

Date and Time of Departure_<br />

PROG LOCAL<br />

FUND/YR FUNC ORG CODE OPTION<br />

Date and Time of Return<br />

Trip Sponsor<br />

Contact Administrator<br />

Emergency Phone #<br />

Please list belowthe names of the students and sponsos who will be traveling.<br />

suB<br />

OBJECT OBJECT<br />

<strong>Student</strong>s Initials for Meal TickeUMoney Received<br />

Please provide a copy of this form to the campus principal prior to departure<br />

ursD FoRM 890-011<br />

NOVEMBER 2OO2

Chaprone<br />

utsD FoRM 890-011<br />

Chaperone<br />

<strong>Student</strong>s I n itials for Meal TickeUMoney Received<br />

UISD FORM 890-011<br />

NOVEMBER2OO2

Ghaperone<br />

<strong>Student</strong>s lnitials for Meal TickeUMoney Received<br />

UISD FORM 890{11<br />

UISD FORM 89G.011<br />

ulsD FoRM 890-011<br />

ursD FoRM 890{11<br />

UISD FORM 890411<br />

Campus/Department<br />

Curriculum &<br />

Instruction<br />

Accounting<br />

Name: Date:<br />

Employee I.D. #/Vendor #<br />

Home<br />

Address:<br />

Dept. / Campus Destination<br />

Zip Code<br />

Purpose of Trip: (Attach Detailed Description of Activity/Registration Form)<br />

Departure Date*: Time:__________ Return Date: Time:<br />

*Note: Meal Allowances for same day travel (departing and returning on the same day) are taxable to the employee<br />

and allowance will be added to employee's W2 Form as per IRS Code.<br />

Same Day <strong>Travel</strong> or<br />

Departure ($36 x 75%) $ 27.00 X QTY Original receipts required upon return A) $<br />

Interim <strong>Travel</strong> Day(s) $ 36.00 X QTY Original receipts required upon return B) $<br />

Return ($36 x 75%) $ 27.00 X QTY Original receipts required upon return C) $<br />

Cost of Lodging: # of nights X $ = (Room Rate May Not Exceed GSA per diem rate)D) $<br />

City Tax: X X = (Exempt from State Tax) E) $<br />

Sharing Room with<br />

(Room Rate) X Tax % X # of nights<br />

Personal Vehicle:* # of Miles X 2 X<br />

$0.50/<br />

mile = F) $<br />

*(Attach directions from MapQuest.com/odometer readings are required for settlement)<br />

<strong>Student</strong>s Meals:* # X $ X = G) $<br />

Money Given to <strong>Student</strong>s (# <strong>Student</strong>s) ($ amount per meal) (# of meals)<br />

*Initialed <strong>Student</strong> List Required Form 890-011 (A)+(B)+(C)+(D)+(E)+(F)+(G) Sub-Total(1) $<br />

ITEMS PAYABLE Rental / Buses / Airfare Fees : Attach Requisition (2) $<br />

TO VENDORS Payable to ____________________________ Deadline _____/_____/_____<br />

Registration Fees/Entrance Fees: Attach Requisition (3) $<br />

Payable to ____________________________<br />

<strong>Student</strong> Meals: Attach Requisition<br />

Deadline _____/_____/_____<br />

Payable to ____________________________ Deadline _____/_____/_____ (4) $<br />

(1)+(2)+(3)+(4) = TOTAL FOR TRIP $<br />

All employees shall be required to submit travel- related expense receipts within five (5) business days of their return from a <strong>District</strong>-related<br />

trip. An employee that fails to turn in their receipts for any travel-related expenses on two (2) separate occasions in a school/work year<br />

shall not be advanced any travel monies by the <strong>District</strong> on a subsequent <strong>District</strong>-related business trip and shall be required to submit a<br />

request for reimbursement of their travel-related expenses upon their return from the <strong>District</strong>-related business trip.<br />

Signature of Claimant Date<br />

Fund<br />

Year<br />

Func<br />

Prg.<br />

Code<br />

Local<br />

Option<br />

Obj Sub<br />

Obj<br />

Immediate Supervisor Date<br />

Alternative Funding Source Approval Date Superintendent /Designee<br />

___________<br />

Date<br />

(Superintendent signature required on Out-of-State Trips)<br />

Exe. Dir.of Elem./Sec.Ed. or Dir.of Sp.Ed.<br />

Budget Accountant/Staff Accountant<br />

<strong>United</strong> <strong>Independent</strong> <strong>School</strong> <strong>District</strong><br />

Request for <strong>Travel</strong> Authorization and Payment<br />

This form must be turned in two weeks prior to the travel date<br />

GSA Report is required for processing travel request<br />

By signing this statement, I authorize the <strong>District</strong> to payroll deduct any<br />

unsubstantiated amounts. Please read statement immediately above.<br />

For Accounting Office Use Only<br />

Budget Codes must be completed by the appropriate personnel<br />

before trip will be approved.<br />

Approval for Teacher Staff Development Only<br />

Request must be approved two weeks in advance & before registration for workshop is submitted.<br />

Org<br />

Total<br />

U.I.S.D Form 726-005<br />

Revised 03/01/10

Name / Empl. #/Vendor I.D.# /<br />

Address<br />

Destination<br />

Purpose of Trip<br />

Depart and Return<br />

Meals<br />

Mileage<br />

Cost of Lodging<br />

Transportation Fees<br />

Registration Fees<br />

Settlement Voucher<br />

<strong>Student</strong>s Meals<br />

Approval<br />

Funding Sources<br />

Purchase Requisitions<br />

<strong>Travel</strong> Authorization and Payment Instruction<br />

Use the full name of the claimant, Empl. I.D. #/Vendor # and employee's home address.<br />

Refers to the date the travel authorization form is prepared.<br />

Requires the specific name of the city and state to which claimant is traveling.<br />

Requires a detailed statement of justification as to why the claimant needs to travel and how<br />

this trip will enhance his or her performance on the job for the school district.<br />

Refers to the date and time the claimant will leave the <strong>District</strong> and return to the <strong>District</strong>.<br />

Meals for same day trip will be reimbursed at 75% of $36.00. Meals for overnight trip will be<br />

reimbursed at 75% of $36.00 for the 1st day of travel, Interim days will be reimbursed at $36.00<br />

per day, and the last day of travel will be reimbursed at 75% of $36.00. Original receipts are<br />

required at time of settlement. Maximum reimbursement for meals is not to exceed $27.00 on<br />

same day trip/1st day and last day of travel or $36.00 for interim days of travel<br />

Advancement is based on the number of miles provided by MapQuest.com. Odometer<br />

readings are required for settlement voucher. If odometer reading is less than<br />

MapQuest, difference is owed to <strong>United</strong> ISD. If odometer reading is more than<br />

MapQuest, maximum reimbursement allowable is up to MapQuest advancement.<br />

Enter the number of nights you will be away from the <strong>District</strong> on business and multiply by the actual or estimated cost<br />

per night. If the cost is estimated, claimant may be due additional payment or may have to reimburse the <strong>District</strong><br />

based on the actual receipt for lodging expenses (room cost only). Reimbursement may not exceed amount listed on<br />

the U.S. General Service Administration (GSA) website. If city is not listed, use county, if county not listed then use<br />

$85.00 per night. Itemized receipts are required at time of settlement.<br />

Payment /reimbursement is made on actual costs with receipts required up to maximum<br />

allowable.<br />

Payment/reimbursement is made on actual costs with receipts required.<br />

Must be settled with an Official <strong>School</strong> Business <strong>Travel</strong> Settlement Voucher.<br />

Refers to the cost of meals for secondary student group travel. A signed list of students<br />

participating in the travel is required Form 890-011<br />

Form must be signed by the claimant and approved by their immediate Supervisor, Executive Director of<br />

Elementary/Secondary or Dir.of Sp.Ed., and Superintendent. (Only original form should be submitted to<br />

the Accounting Department)<br />

Enter the account number to which the expenditures are to be charged. Without this number, the travel will<br />

not be approved. Alternate funding source will require an additional signature.<br />

Form(s)are required only if payment is made to a vendor or company rather than the claimant.<br />

TEA REQUIREMENTS<br />

<strong>Travel</strong> costs must be properly documented to be reimbursable. The employee must document travel costs with a travel<br />

voucher or other comparable documentation. Documentation must include the following at a minimum:<br />

‱Name of the individual claiming travel reimbursement<br />

‱Destination and purpose of the trip, including how it was necessary to accomplish the objectives of<br />

the grant project<br />

‱Dates of travel<br />

‱Actual mileage (not to exceed reimbursement at the maximum allowable rate)<br />

‱Actual amount expended on Lodging per day with a receipt attached<br />

(may not exceed the max allowable)<br />

‱Actual amount expended on public transportation, such as taxis and shuttles<br />

‱Actual amount expended on rental car with receipt, with receipt attached and justification for why a<br />

rental car was necessary and how it was more cost effective than alternate transportation;<br />

receipts for any gasoline purchased for the rental car must be attached (mileage is not reimbursed<br />

for a rental car - only the cost for gasoline is reimbursed)<br />

‱Actual amount expended on incidental, such as hotel taxes, copying of materials, and other costs<br />

associated with the travel<br />

‱Total amount reimbursed to the employee

This form must be turned in within 5 working days from return date<br />

Employee Name: Date:<br />

Employee #/Vendor I.D.#:<br />

Dept. /Campus:<br />

Date Departed: Time:<br />

Date Returned:<br />

Time:<br />

Departure X<br />

Interim <strong>Travel</strong> Day(s) X<br />

Return X<br />

X = (Room Rate May Not Exceed GSA per diem rate) $ D)<br />

Room Rate<br />

City Tax: X X = (Exempt from State Tax) E)<br />

Shared room with:<br />

Miscellaneous Expenses: (Receipts Required)<br />

Mileage Advancement: (amount paid on original travel)<br />

$<br />

Odometer Reading to X .50 per mile = $<br />

Start Ending<br />

<strong>Student</strong>s Meals:* X X = H)<br />

(A)+(B)+(C)+(D)+(E)+(F)+(G)+(H) TOTAL EXPENDITURES<br />

Advance Payment: UISD Check # Date: Less Total Advance<br />

Amount Due to Employee/ Amount Due to UISD<br />

Explanations:(Remarks):<br />

Computed by Date<br />

<strong>Travel</strong>ed To:<br />

GSA report is required on original travel request<br />

Cost of Lodging (Itemized Receipt Req.):<br />

# of nights<br />

Official <strong>School</strong> Business <strong>Travel</strong> Settlement Voucher<br />

QTY<br />

$ Total Miscellaneous Expenses: F) $<br />

If odometer reading total is less than mileage advancement difference is<br />

due to UISD; If odometer reading total is more, than use advanced amount<br />

$ -<br />

G) $<br />

Original receipts required,<br />

Max allowable $27.00<br />

A)<br />

*An Initialed <strong>Student</strong> List Must Be Attached (Form 890-011)<br />

Max allowable $36.00 per day B)<br />

C)<br />

*Mileage reimbursement is based on odometer readings, if odometer reading is greater than MapQuest, than use amount on advancement<br />

-<br />

Sub<br />

Accounting Assistant Date<br />

Budget Accountant/Federal Programs Date<br />

U.I.S.D Form 726-006<br />

Revised 03/01/10<br />

$0.00<br />

UISD Form 890-043

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<strong>School</strong>:<br />

]<br />

:<br />

Contact Person:<br />

Request F'or Bus Transportation<br />

Conference Time:<br />

Date:<br />

Phone:<br />

Sponsor's Signature<br />

Purpose of Trip Loading Zone<br />

Departure Date: Departure Time:<br />

(affer 9:00 a.m. or afur 5:00 p.m.)<br />

Retum Date: Return Time:<br />

Group To Be Transported<br />

Type of Vehicle Requested<br />

Is this an overnight tip?<br />

nYes E No<br />

Is this a drop & return trip? !Yes I No<br />

ls a Bus Driver Requested? n Yes I No<br />

(before 2:00 p.m. for daytime fips)<br />

No. of <strong>Student</strong>s: - No. of Adults:<br />

Drop OffTime<br />

If yes, name of Driver:<br />

No. of Vehicles Requested' -<br />

Return Time<br />

Approval: Principal/Immediate Supervisor's Signature Date<br />

Approval: Exec. Director/Program Director's Signature (if required)<br />

SPECIAL INSTRUCTIONS:<br />

Charge to Budget Code<br />

n a.m.<br />

! o.r.<br />

n ...<br />

E p.r.<br />

NOTE: THIS REQUEST MAY BE FAXED TO (9s6) 473-6260<br />

PLEASE MAKE A COPY OF THIS REQUEST AI\D RETAIN FOR YOUR RECORDS!<br />

utsD FoRM NO.937-001

TRANSPORTATION DEPARTMENT<br />

EXTRA.CURRICULAR TRIP SPONSOR RESPONSIBILITIES<br />

Please read the following DISTRICT POLICY before requesting transportation:<br />

REQU|SlTloNS:-BusrequisitionsmustbeintheTransportationoffice@tothe<br />

trip. No vehicle will leave on an extra-curricular trip without a bus requisition. All requisitions<br />

must be completely filled out, with budget code, required signatures/approval, etc. When<br />

indicating the departure and retum times make sure that you speciff A.M or P.M. E!g!{!t!pg<br />

can not be scheduled for departure before 9:00 a.m. or before 5:00 p.m unless approved<br />

bv Director of Transportation. Davtime field trips must return to point of oriqin before<br />

2:00 p.m. or wait to be picked up after the assioned driver completes his/her dailv<br />

academic route. Field trip request forms submitted with incomplete or unreadable information<br />

will delay processing. To expedite processing, EAX your request to 47&6260.<br />

DESTINATIONS - All destinations should be made known to the bus driver in advance. Sponsor is<br />

responsible for assisting bus driver in locating a destination. An itinerary should be provided for<br />

ovemight trips.<br />

ARRANGEMENTS - Sponsors are responsible for ticket and lodging arangements for the drivers.<br />

Transportation personnel should have a separate room from the students and sponsors. Meal<br />

money will be requested by the Transportation Department and given to the driver according to<br />

district rei mbursement policy.<br />

SPEED LIMIT- All speed limits will be strictly adhered to by bus driver. The maximum speed limit for<br />

school buses is 50 MPH. The driver should not be expected to make up time lost due to late<br />

departure or poor trip planning.<br />

RESPONSIBILITIES<br />

SPONSOR: lt is the sponso/s responsibility to take care of all students and their property, to see<br />

that students follow bus rider rules, and to see that the bus is left clean and orderly at the end of<br />

the trip. Cold drinks may be taken in cans and placed in boxes with lids or in coolers with lids.<br />

Sponsor must ensure that aisles are not obstructed and that cans do not roll fteely. Sponsor<br />

MUST CALL one (1) day in advance to verify the trip.<br />

BUS DRIVER: lt is the drive/s responsibility to drive safely and to take care of the bus. lf the<br />

sponsor is incapable of handling discipline problems, it may become necessary for the driver to<br />

take charge. The driver should first discuss the problem with the sponsor and give the sponsor<br />

the opportunity to resolve the problem. lf the sponsor cannot or will not do so, the driver is then<br />

to take appropriate action to correct the situation and notiff school officials upon completion of<br />

the trip.<br />

STUDENT: All students have the right to a safe and pleasant trip to and from school and on school<br />

sponsored trips. We believe all students can behave appropriately and safely while riding on a<br />

school bus. We can not tolerate any student interfering with drivers and paraprofessionals doing<br />

their jobs, and we continuously work toward protecting each passengeds right to a safe ride.<br />

<strong>Student</strong>s shall comply with the <strong>Student</strong> Code of Conduct at all times, while they are under the<br />

jurisdiction of the school district.<br />

SPONSORS SHOULD KEEP A COPY OF THIS FORM FOR REFERENCE.

REI\IARK: AfiN:<br />

oRTGTNATOR (PRTNT)<br />

ADMINISTRATIOR SIGNATURE<br />

PURCHASE REQUISITION<br />

Vendor Name and Address<br />

DESCRIPTION<br />

Phone No.<br />

Campus:<br />

Page _ of _<br />

ITINERARY FOR<br />

ITINERARY FORM<br />

DATE(S) TRAVELING<br />

DATE TIME ACTIVITY AND LOCATION<br />

SPONSOR SIGNATURE<br />

TO<br />

UISD FORM 890-012<br />

AUGUST 1999

Dear Parents,<br />

Our school (organization) is planning a trip for our students. Details for this trip are as follows:<br />

<strong>School</strong> group taking trip:<br />

Date of trip:<br />

Purpose of trip:<br />

Report to: Departure Time:<br />

Return to campus – Date: Time:<br />

Money for meal(s) per student $ for meal(s)<br />

Movie Title: __________________________________________ Rating: _____________<br />

<strong>Student</strong>s will be under the supervision of sponsors.<br />

RELEASE<br />

I release, acquit and forever discharge UNITED INDEPENDENT SCHOOL DISTRICT, its board<br />

members, officers, directors, and employees from any and all claims arising out of any accident that<br />

may occur during the course of the above mentioned field trip to be taken by my child. I further agree<br />

to hold harmless the UNITED INDEPENDENT SCHOOL DISTRICT and its board members, officers,<br />

directors, agents, and employees from any and all losses, costs, or expenses incurred as a result of<br />

any accident or injury that may occur during the course of the above mentioned field trip to be taken<br />

by my child.<br />

has my permission to go to<br />

<strong>Student</strong> Name Field Trip<br />

on describe in the above paragraphs, which I understand and to<br />

which I agree. I have read and understand this PARENTAL RELEASE AND PERMISSION, and by<br />

my signature below agree to such RELEASE AND PERMISSION.<br />

Signature of Parent or Guardian<br />

PARENTAL RELEASE AND PERMISSION<br />

PLEASE KEEP THE ATTACHED ITINERARY!<br />

It is the policy of <strong>United</strong> I.S.D. not to discriminate on the basis of race, color, national origin, sex, or handicap in its programs, services, or activities as<br />

required by Title VI of the Civil Rights Act of 1964, as amended; Title IX of the Education Amendments of 1972; and Section 504 of the Rehabilitation Act<br />

of 1973, as amended.<br />

UISD FORM 890-009<br />

Estimados Padres:<br />

Nuestra escuela (organizaciĂłn) estĂĄ planeando un viaje para nuestros estudiantes. Detalles de<br />

este viaje son los siguientes:<br />

Grupo de estudiantes participando en este viaje:<br />

Fecha del viaje:<br />

Motivo del viaje:<br />

Reportarse con: Hora de Salida:<br />

Regreso a la escuela – Fecha: Hora:<br />

Dinero que necesita al estudiante por comida $ NĂșmero de comidas<br />

El TĂ­tulo de la PelĂ­cula: ______________________________ ClasificaciĂłn: ____________<br />

El estudiante estarĂĄ bajo la supervisiĂłn de: ______________________________________<br />

.<br />

RENUNCIA<br />

Yo renuncio y absuelvo todo cargo al DISTRITO INDEPENDIENTE UNITED, a los miembros<br />

de la Mesa Directiva, oficiales, directores y empleados de todo y cualquier cargo que resulte<br />

en algĂșn accidente que pueda ocurrir durante el curso del viaje mencionado arriba en el cual<br />

mi hijo/a participe. AdemĂĄs, no culparĂĄ al DISTRITO INDEPENDIENTE UNITED, a los<br />

miembros de la Mesa Directiva, oficiales, directores y empleados de cualquier pérdida, costo<br />

o gastos incurridos como resultado de cualquier accidente que pueda ocurrir durante el curso<br />

del viaje mencionado en el cual mi hijo/a participe.<br />

tiene mi permiso de ir a<br />

Nombre del Estudiante Lugar del Viaje<br />

el dĂ­a descrito en el pĂĄrrafo mencionado arriba el cual yo entiendo<br />

Fecha<br />

y estoy de acuerdo. He leĂ­do y entendido esta forma de RENUNCIA Y PERMISO y por mi firma<br />

abajo estoy de acuerdo con dicha RENUNCIA Y PERMISO.<br />

FORMA DE RENUNCIA Y PERMISO<br />

Es norma de <strong>United</strong> I.S.D. el no discriminar por motivos de raza, color, origen nacional, sexo o impedimento, en sus programas, servicios o<br />

actividades, tal como lo requieren el TĂ­tulo VI de la Ley de Derechos Civiles de 1964, segĂșn enmienda; el TĂ­tulo IX de las Enmiendas en la<br />

EducaciĂłn de 1972, y la SecciĂłn 504 de la Ley de RehabilitaciĂłn de 1973, segĂșn la enmienda.<br />

UISD FORM 890-009S

UNITED INDEPENDENT SGHOOL DISTRICT<br />

I SHALL<br />

STUDENT TRAVEL AGREEMENT OF CONDUCT<br />

- obey the student code of conduct in addition to any campus rules of discipline<br />

- not possess or use tobacco, illegaldrugs, or alcohol<br />

- remain at alltimes with assigned teacher sponsor or adult chaperone<br />

- not change buses<br />

- adhere to the UISD <strong>Student</strong> Bus Rider Handbook<br />

- secure transportation home upon arrival back on campus<br />

IF TRIP IS OUT-OF-TO\A/N. I SHALL ALSO:<br />

- not use swimming pools orwater parks, or any type of recreationalwater activity, unless<br />

prior approval has been granted by the principal<br />

- keep 11:00 p.m. curfew<br />

- not leave the lodging area unless accompanied by a designated sponsor or chaperone or<br />

special permission<br />

- be allowed to socialize in rooms provided the following are observed:<br />

* doors are kept open<br />

* the noise level must be kept low so other guests are not disturbed<br />

" once the curfew arrives, students return to their designated rooms<br />

* I HAVE DISCUSSED THESE RULES AND RESPONSIBILITIES WITH MY STUDENTS.<br />

SPONSOR SIGNATURE: DATE:<br />

Signing this contract indicates reading and understanding and agreeing to follow the abovementioned<br />

rules and accepting the consequences.<br />

STUDENT NAME:<br />

STUDENT SIGNATURE:<br />

STUDENT I.D. :<br />

DATE:<br />

UISD FORM 890-006<br />

Insurance Name:<br />

Policy Holder:<br />

Group #:<br />

Policy #:<br />

HF OO4<br />

HEALTH INSURANCE<br />

INFORMATION:<br />

STUDENT'S NAME<br />

LAST FIRST MIDDLE INITIAL<br />

ADDRESS HOME PHONE<br />

CITY ZIP<br />

TO THE PARENT OR LEGAL GUARDIAN: To serve your child in case of an accident, sudden illness or other need for immediate<br />

medical treatment, it is necessary that you indicate your consent to such treatment by your signature below. Further, we<br />

request that you provide the following information:<br />

MOTHER/GUARD IAN'S NAME PLACE OF EMPLOYMENT<br />

ADDRESS BUSINESS PHONE<br />

FATHER GUARDIAN'S NAME PLACE OF EMPLOYMENT<br />

CONSENT FOR MEDICAL TREATMENT: According to the Family code §35.01, consent for medical treatment may be given by<br />

a parent or any of the following persons when the parents cannot be contacted: a grandparent, an adult brother or sister,<br />

an adult aunt or uncle. Please list below family members who may be contacted in the event you are not available.<br />

Name Phone<br />

Address Relationship<br />

Written consent can be given to any adult who has care and control of the minor child. I hereby authorize the following<br />

persons to give consent for medical treatment for my child if contacted by the school when relatives are not available.<br />

Name Address Phone<br />

Name Address<br />

Phone<br />

HEALTH INFORMATION: List any health conditions such as heart disease, diabetes, epilepsy, severe allergies, eye or ear<br />

problems or any chronic condition, etc.<br />

Explanation:<br />

Doctor: (First Choice) Telephone No<br />

Doctor: (Second Choice)<br />

STUDENT MEDICAL TREATMENT CARD<br />

FIELD TRIP/OUT OF TOWN EVENTS<br />

SCHOOL<br />

GRADE HOME ROOM TEACHER<br />

BIRTH DATE<br />

EVENT: DATE<br />

Telephone No.<br />

Hospital Choice: Telephone No<br />

I, the undersigned, do hereby authorize officials of the UNITED INDEPENDENT SCHOOL DISTRICT to contact directly the<br />

persons named on this card, and do authorized the named physician(S) to render such treatment as may be deemed<br />

necessary, for the health of said child.<br />

In the event physicians, other persons named on this card, or parents cannot be contacted, the school officials are hereby<br />

authorized to take whatever action is deemed necessary in their judgment, for the health of aforesaid child.<br />

I will not hold the school district financially responsible for the emergency care and/or transportation for said child.<br />

Date Signature of Parent of Guardian U.I.S.D. Form No. 881-009<br />

August 2000

Policy Holder: ESCUELA<br />

DISTRITO ESCOLAR INDEPENDIENTE DE UNITED<br />

TARJETA DE TRATAMIENTO MEDICO<br />

VIAJE ESCOLAR/EVENTOS ESCOLARES<br />

Group #- GRADO MAESTRO DE PLANTA<br />

Policy #'<br />

NOMBRE DE ESTUDIANTE<br />

FECHA DE NACIMIENTO<br />

EVENTO:<br />

DIRECCION NUMBERO DE TELEFONO<br />

CIUDAD CODIGO POSTAL<br />

FECHA:<br />

APELLIDO PRIMER NOMBRE SEGUNDO NOMBRE (INICIAL)<br />

PARA LOS PADRES 0 GUARDIANES: Para mejor servirle a sus hijos en caso de accidente e enfermedad repentina a alguna otra necesidad para<br />

tratamiento médico inmediato, es necesario que indique con su firma al consentimiento de tal tratamiento. También le pedimos que nos proveea<br />

con la siguiente informaciĂłn.<br />

MADRE/GUARDIAN'S NOMBRE LUGAR DE EMPLEO<br />

DIRECCION TELEFONO DE EMPLEO<br />

PADRE/GUARDIAN'S NOMBRE LUGAR DE EMPLEO<br />

CONSENTIMIENTO PARA TRATAMIENTO MEDICO: SegĂșn el cĂłdigo familiar §35.01. Consentimiento para tratamiento mĂ©dico debe de ser aprobado par<br />

los padres de familia o alguna de las siguientes personas cuando no se pueda comunicar con los padres: los abuelos, un hermano (adulto), un tĂ­o<br />

o tia (adulto). Favor de poner en la lista los miembros de la familia a los cuales la escuela pueda comunicarse.<br />

Nombre<br />

Teléfono<br />

DirecciĂłn RelaciĂłn<br />

Nombre Teléfono<br />

Consiento por escrito el poder otorgar a un adulto que tenga cuidado y control del menor de edad (niño). Yo autorizo a las siguientes personas a<br />

dar consentinniento cle tratatamiento médico para mi hijo/hija en caso de que llame a la escuela si yo no estoy disponible.<br />

Nombre Dirección Teléfono<br />

INFORMACION DE SALUD: Mencione cuolquiera enfermedad que existe como las siguientes enfermedades: Enfermedad del corazĂłn, diabetes,<br />

epilepsia, alergias, problemas de los ojos y de los oĂ­dos a cualquier enfermedad crĂłnica.<br />

ExplicaciĂłn:<br />

Doctor: (Primera preferencia)<br />

Doctor: (Segundo preferencia)<br />

Preferencia de Hospital: Teléfono<br />

Yo, autorizo a los oficiales de Distrito Escolar Independiente de <strong>United</strong> que se pongan en contacto directarnente, con las personas que se<br />

mencionan en esta tarjeta y doy ml autorizaciĂłn a los doctores cuyos nombres se mencionan para que examinen a mi hijo(a) segĂșn lo<br />

consideren necesario en una emergencia, por la salud de dicha persona.<br />

En caso de que los doctores o personas mencionadas en esta tarjeto o los padres no se les pueda localizar, los oficiales escolares estĂĄn<br />

autorizados para tomar cualquier acciĂłn necesaria, segĂșn lo consideren conveniente para la salud de la persona antes mencionada.<br />

Yo no le haré responsable al distrito escolar por las obligaciones financleras por el cuidado de emergencia o transporte al hospital de dicha<br />

persona.<br />

Firma do Padre or Tutor UISD Form No. 881-009-S<br />

November 2002

Board of Trustees<br />

Pat Campos<br />

President<br />

<strong>District</strong> 3<br />

Juan Antonio Molina, Jr.<br />

Vice-President<br />

<strong>District</strong> 4<br />

Juan Roberto Ramirez<br />

Secretary<br />

<strong>District</strong> 6<br />

Ricardo Molina, Sr.<br />

Parliamentarian<br />

<strong>District</strong> 1<br />

Ricardo Rodriguez<br />

Member<br />

<strong>District</strong> 2<br />

William “Bill” Johnson<br />

<strong>District</strong> 5<br />

Judd Gilpin<br />

<strong>District</strong> 7<br />

Roberto J. Santos<br />

Superintendent<br />

201 Lindenwood Drive<br />

Laredo, Texas 78045<br />

Phone: (956) 473-6219<br />

Facsimile: (956) 728-8691<br />

PARENTAL WAIVER OF DISTRICT TRANSPORTATION<br />

AND LIABILITY<br />

THIS FORM IS TO BE USED WHEN PARENTS WISH TO DECLINE DISTRICT<br />

TRANSPORTATION FOR THEIR CHILD AND MAKE THEIR OWN<br />

TRANSPORTATION ARRANGEMENTS<br />

<strong>United</strong> <strong>Independent</strong> <strong>School</strong> <strong>District</strong> (“<strong>District</strong>”) policy requires students attending off<br />

campus activities be transported in district vehicles. Parent/Guardian may request to decline<br />

district transportation and provide alternate means of transportation to the off-campus<br />

activity. The request requires approval of the Campus Principal. This must be done by a<br />

parent/guardian submitting this completed form to the Campus Principal at least forty-eight<br />

(48) hours prior to the school approved off-campus activity. If you are requesting this<br />

alternative please complete the form below:<br />

I am requesting approval to provide my own transportation for my child:<br />

Name of Child: ____________________________________________<br />

Name of Activity: ____________________________________________<br />

Date of Activity: ____________________________________________<br />

Please check the appropriate box:<br />

( ) I WILL BE PROVIDING ROUND TRIP TRANSPORTATION FOR MY CHILD<br />

( ) I WILL BE PROVIDING TRANSPORTATION TO THE EVENT ONLY<br />

( ) I WILL BE PROVIDING TRANSPORTATION FROM THE EVENT ONLY<br />

Therefore, in consideration of this transportation arrangement, I waive any claim of liability<br />

or responsibility and covenant not to sue <strong>United</strong> <strong>Independent</strong> <strong>School</strong> <strong>District</strong>, its board<br />

members, officers, directors, agents, representatives, and employees in the event of an<br />

accident causing injury to the above named student which may result from such<br />

transportation. I further release, acquit and forever discharge <strong>United</strong> <strong>Independent</strong>, its board<br />

members, officers, directors, agents, representatives, and employees from any and all claims<br />

that may be asserted by my child arising out of any accident which may result from such<br />

transportation. I further agree on behalf of myself and my child to defend, indemnify and<br />

hold harmless the <strong>United</strong> <strong>Independent</strong> <strong>School</strong> <strong>District</strong>, its board members, officers,<br />

directors, agents, representatives, and employees from any and all losses, costs, or expenses,<br />

incurred as a result of any accident or injury that may occur to my child as a result from<br />

such transportation.<br />

_________________________ ______________________________________<br />

PARENT OR GUARDIAN SIGNATURE OF PARENT OR GUARDIAN<br />

PRINTED NAMED<br />

__________________________<br />

__________________________ _______________________________<br />

PRINCIPAL’S SIGNATURE SCHOOL<br />

It is the policy of <strong>United</strong> I.S.D. not to discriminate on the basis of race, color, national origin, sex, or handicap in its programs,<br />

services, or activities as required by Title VI of the Civil Rights Act of 1964, as amended; Title IX of the Education<br />

Amendments of 1972; and Section 504 of the Rehabilitation Act of 1973, as amended.<br />

EXENCIÓN DE LOS PADRES DE FAMILIA PARA LA TRANSPORTACIÓN Y<br />

RESPONSABILIDAD DEL DISTRITO<br />

ESTE FORMULARIO SE UTILIZARÁ CUANDO LOS PADRES DE FAMILIA SE<br />

REHÚSEN A UTILIZAR EL TRANSPORTE DEL DISTRITO PARA SU HIJO Y DESEEN<br />

HACER LOS ARREGLOS NECESARIOS PARA PROVEER SU PROPIO TRANSPORTE<br />

La política de <strong>United</strong> <strong>Independent</strong> <strong>School</strong> <strong>District</strong> (“Distrito”) requiere que los estudiantes que participen<br />

en actividades fuera del plantel sean transportados en vehĂ­culos del distrito. El padre/tutor puede optar<br />

por declinar el uso de transporte del distrito y proveer un medio de transporte alterno hasta donde se lleve<br />

a cabo esta actividad. La peticiĂłn requiere de la aprobaciĂłn del director escolar. Esta debe llevarse a<br />

cabo por parte del padre/tutor al entregar este formulario con los datos pertinentes al director escolar al<br />

menos cuarenta y ocho (48) horas antes de que se realice la actividad fuera de la escuela. Si usted<br />

solicita esta alternativa por favor llene el siguiente formulario:<br />

Solicito la aprobaciĂłn para proveer mi propio transporte para mi hijo:<br />

Nombre del estudiante: ____________________________________________<br />

Nombre de la actividad: ____________________________________________<br />

Fecha de la actividad: ____________________________________________<br />

Por favor marque el espacio apropiado:<br />

( ) PROVEERÉ TRANSPORTE DE IDA Y VUELTA PARA MI HIJO<br />

( ) PROVEERÉ TRANSPORTE SOLAMENTE HACIA EL EVENTO<br />

( ) PROVEERÉ TRANSPORTE SOLAMENTE DESDE EL EVENTO<br />

Por lo tanto, en consideraciĂłn de este acuerdo de transportaciĂłn, libero de toda responsabilidad y acuerdo no<br />

demandar a <strong>United</strong> <strong>Independent</strong> <strong>School</strong> <strong>District</strong>, miembros de su mesa directiva, oficiales, directores, agentes,<br />

representantes y empleados en caso de un accidente que cause alguna lesiĂłn al estudiante anteriormente<br />

mencionado, como resultado de tal transportación. También libero, absuelvo y exonero en todo momento a<br />

<strong>United</strong> <strong>Independent</strong>, miembros de su mesa directiva, oficiales, directores, agentes, representantes y empleados<br />

de cualquier y de todo reclamo que pueda presentar mi hijo y que surja de cualquier accidente como resultado<br />

de tal transportación. También acuerdo por mi parte y por la de mi hijo defender, desagraviar y exentar de<br />

toda responsabilidad a <strong>United</strong> <strong>Independent</strong> <strong>School</strong> <strong>District</strong>, miembros de su mesa directiva, oficiales,<br />

directores, agentes, representantes y empleados de cualquier y de toda pérdida, costo o gastos, a los que hayan<br />

incurrido como resultado de algĂșn accidente o lesiĂłn que pueda ocurrir a mi hijo al utilizar dicha<br />

transportaciĂłn..<br />

_________________________ ____________________________________<br />

NOMBRE DEL PADRE O TUTOR FIRMA DEL PADRE O TUTOR<br />

EN LETRA DE IMPRENTA<br />

__________________________ ____________________________________<br />

FIRMA DEL DIRECTOR ESCUELA<br />

Es norma de <strong>United</strong> I.S.D. el no discriminar por motivos de raza, color, origen nacional, sexo o impedimento, en sus<br />

programas, servicios o actividades, tal como lo requieren el TĂ­tulo VI de la Ley de Derechos Civiles de 1964, segĂșn<br />

enmienda; el TĂ­tulo IX de las Enmiendas en la EducaciĂłn de 1972, y la SecciĂłn 504 de la Ley de RehabilitaciĂłn de 1973,<br />

segĂșn la enmienda.<br />

'sqESN<br />

CAMPUS:<br />

CLTIB:<br />

PIJRPOSE:<br />

I<br />

2<br />

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4<br />

5<br />

6<br />

7<br />

8<br />

9<br />

10.<br />

l1<br />

12.<br />

l3<br />

T4<br />

15<br />

t6.<br />

17.<br />

18<br />

T9<br />

20<br />

2l<br />

22<br />

Sponsor Signature/Date<br />

TRANSN{ITTAL LIST<br />

MONEY COLLECTED FROM STT]DENTS<br />

SPONSOR:<br />

PrintName<br />

ROOM#:<br />

STUDENTNAME AMOUNT STUDENT SIGNATURE<br />

TOTAL COLLECTED: $<br />

A-12<br />

RECEIPTNUMBER:<br />

Bookkeeper Signature/Date<br />

u.I.s.D. FORM 901-018<br />

Revised 6/02

-€regas9z-ffi--llPr<br />

p/*ttr*-t*\E<br />

\ I. :J'T./<br />

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CLT]B:<br />

PIIRPOSE:<br />

2.<br />

6.<br />

7.<br />

8.<br />

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t5<br />

I6<br />

17<br />

l9<br />

TRAi\SN/ilTTAL LIST<br />

MONEY DISBURSED TO STUDENTS<br />

Print Name<br />

STUDENTNAME AMOLINT STUDENT SIGNATURE<br />

TOTAL DISBURSED: $ CHECKNUMBER:<br />

u.I.s.D FORM 901-019<br />

Parents (Please Complete)<br />

SCHOOL HEALTH PROGRAM<br />

REQUEST FOR ADMINISTRATION OF MEDICATION<br />

<strong>School</strong> Year 20_______ - 20_______<br />

<strong>Student</strong> _________________________________ <strong>School</strong> ___________________ DOB __________<br />

ID # ___________________Unit/Grade_____________ Teacher ____________________________<br />

Parents ____________________________________ Address ______________________________<br />

Home Phone ______________________ Emergency/Employment Phone______________________<br />

I authorized <strong>United</strong> <strong>Independent</strong> <strong>School</strong> <strong>District</strong> to Administer the prescribed medication(s) listed<br />

below.<br />

______________________________________________ _____________________<br />

Signature of Parent/Guardian Date<br />

________________________________________________________________________________<br />

Physician (Please Complete)<br />

I am prescribing the following medication(s) for __________________________________________<br />

<strong>Student</strong>s’ name (please print)<br />

Medication # 1 _________________________________________<br />

Dosage/Frequency _________________________________________________________________<br />

Side effects _______________________________________________________________________<br />

Medication # 2 _________________________________________<br />

________________________________ ________________________________<br />

Physician Signature Physician Name (Please Print)<br />

Telephone ____________________________ Date_________________________________<br />

MEDICATION(S) WILL BE HAND DELIVERED TO _______________________________________ IN A PROPERLY LABELED PRESCRIPTION<br />

CONTAINER. THE ABOVE MEDICATION(S) MAY NOT BE SCHEDULED FOR OTHER THAN SCHOOL HOURS. UNLICENSED PERSONAL<br />

DESIGANTED BY THE SCHOOL ADMINISTOR MAY ADMINISTER MEDICATIONS(S). IF MORE THAN 2 MEDICATIONS ARE TO BE<br />

ADMINISTERED, AN ADDITIONAL FORM IS REQUIRED.<br />

PF 001 (Rev. 07/03) UISD Form 881-003<br />

September 2003

Padres de Familia (Favor de llenar)<br />

SOLICITUD PARA DAR MEDICINA<br />

AÑO ESCOLAR -<br />

Estudiante Escuela Fecha de nacimiento<br />

Unidad/Grado Maestro(a)<br />

Padres DirecciĂłn<br />

Teléfono de casa Teléfono de trabajo/emergencia<br />

Autorizo a <strong>United</strong> <strong>Independent</strong> <strong>School</strong> <strong>District</strong> para dar la medicina indicada.<br />

Firma del Padre o Guardian Fecha<br />

MĂ©dico ( Favor de llenar)<br />

I am prescribing the following medications(s) for<br />

Medicina # 1<br />

InstrucciĂłnes/Frecuencia<br />

Efectos<br />

Medicina # 2<br />

Firma Del MĂ©dico<br />

Telefono<br />

<strong>Student</strong>s' name (please print)<br />

Nombre del MĂ©dico (Letra de molde)<br />

LA MEDICINA SE ENTREGA PERSONALMENTE A<br />

EN UN ENVASE DE MEDICINA<br />

CON LA ETIQUETA NECESARIA. SERA ADMINISTRADA DURANTE LAS HORAS ESCOLARES. LA MEDICINA SE<br />

PUEDE DAR POR UNA PERSONA NO ENTRENADA EN MEDICINA Y DESIGNADA POR EL ADMINISTRADOR DE LA<br />

ESCUELA. SE NECESITA OTRO PERMISO PARA DAR ALGUN OTRO MEDICAMENTO.<br />

PF 001 (Rev. 5/01) UISD Form 881-003<br />

August 1999

<strong>United</strong> ISD<br />

240903<br />

STUDENT ACTIVITIES FMG<br />

TRAVEL (LOCAL)<br />

SCHOOL-SPONSORED<br />

TRIPS IN GENERAL<br />

OVERNIGHT TRIPS<br />

OUT-OF-STATE TRIPS<br />

PERMISSION SLIPS<br />

<strong>Student</strong>s who must travel to participate in school-sponsored<br />

activities shall ride in transportation provided by the school to and<br />

from the event. In the event school-provided transportation is not<br />

available, or the parent elects an alternate mode of transportation<br />

for the student, the appropriate alternate travel release form must<br />

be submitted to the sponsor for approval.<br />

The <strong>District</strong> shall not be liable for any injuries that occur to students<br />

riding in vehicles that are not provided by the school.<br />

All student travel shall have prior approval of the principal, the<br />

athletic director, or appropriate executive director.<br />

The Superintendent may permit students to take school-sponsored<br />

overnight trips for the following purposes:<br />

1. Instructional purposes (field trips and excursions).<br />

2. Activities of school-sponsored or -sanctioned clubs or organizations.<br />

3. UIL or other sanctioned competitions.<br />

The Superintendent may also permit students to take out-of-state<br />

school-sponsored trips for the following purposes:<br />

<strong>Travel</strong> out of the state or country shall be approved by the appropriate<br />

executive director, the principal, and the Superintendent.<br />

Out-of-country trips shall also require Board approval. Approval<br />

shall be requested at least 30 days prior to planned departure date,<br />

except under extenuating circumstances, and no funds shall be<br />

expended until approval of travel is granted.<br />

All trips outside the state shall meet administrative guidelines and<br />

shall be approved before any fund-raising activities are planned or<br />

held. All plans and preparations for such trips or events shall<br />

remain tentative until final approval is received.<br />

An approved permission form shall be signed by a parent/guardian<br />

prior to a student’s participation in a school-sponsored trip. For a<br />

student to participate, <strong>District</strong> employees who are acting as<br />

sponsors are responsible for obtaining a signed form for each<br />

student prior to the trip.<br />

DATE ISSUED: 5/16/2007 1 of 2<br />

LDU 2007.04<br />

FMG(LOCAL)-X

TRAVEL SUPERVISION<br />

<strong>School</strong>-sponsored trips shall be supervised by at least one <strong>District</strong><br />

employee. At least one adult sponsor or volunteer for every ten<br />

students shall accompany students and help provide supervision.<br />

Adult sponsors and volunteers who are not <strong>District</strong> employees shall<br />

be recruited at the earliest possible date. All adult sponsors and<br />

volunteers shall be cleared as “parent volunteers” prior to supervising,<br />

and must comply with all <strong>District</strong> requirements and guidelines.<br />

[See GKG(LOCAL)]<br />

DATE ISSUED: 5/16/2007 ADOPTED: 2 of 2<br />

TERM CONTRACTS DFBB<br />

NONRENEWAL (LOCAL)<br />

REASONS<br />

The recommendation to the Board and its decision not to renew a<br />

contract under this policy shall not be based on an employee’s exercise<br />

of Constitutional rights or based unlawfully on an employee’s<br />

race, color, religion, sex, national origin, disability, or age. Reasons<br />

for proposed nonrenewal of an employee’s term contract shall be:<br />

1. Deficiencies pointed out in observation reports, appraisals or<br />

evaluations, supplemental memoranda, or other communications.<br />

2. Failure to fulfill duties or responsibilities.<br />

3. Incompetency or inefficiency in the performance of duties.<br />

4. Inability to maintain discipline in any situation in which the<br />

employee is responsible for the oversight and supervision of<br />

students.<br />

5. Insubordination or failure to comply with official directives.<br />

6. Failure to comply with Board policies or administrative regulations.<br />

7. Excessive absences.<br />

8. Conducting personal business during school hours when it<br />

results in neglect of duties.<br />

9. Reduction in force because of financial exigency or program<br />

change. [See DFF]<br />

10. A decision by a campus intervention team that the employee<br />

not be retained at a reconstituted campus. [See AIC]<br />

11. The employee is not retained at a campus that has been repurposed<br />

in accordance with law. [See AIC]<br />

12. Drunkenness or excessive use of alcoholic beverages; or<br />

possession, use, or being under the influence of alcohol or alcoholic<br />

beverages while on school property, while working in<br />

the scope of the employee’s duties, or while attending any<br />

school- or <strong>District</strong>-sponsored activity.<br />

13. The illegal possession, use, manufacture, or distribution of a<br />

controlled substance, a drug, a dangerous drug, hallucinogens,<br />

or other substances regulated by state statutes.<br />

14. Failure to meet the <strong>District</strong>’s standards of professional conduct.<br />

15. Failure to report any arrest, indictment, conviction, no contest<br />

or guilty plea, or other adjudication for any felony, any crime<br />

DATE ISSUED: 2/22/2010 1 of 5<br />

UPDATE 87<br />

DFBB(LOCAL)-X

involving moral turpitude, or other offense listed at<br />

DH(LOCAL). [See DH]<br />

16. Conviction of or deferred adjudication for any felony, any<br />

crime involving moral turpitude, or other offense listed at<br />

DH(LOCAL); or conviction of a lesser included offense pursuant<br />

to a plea when the original charged offense is a felony.<br />

[See DH]<br />

17. Failure to comply with reasonable <strong>District</strong> requirements regarding<br />

advanced coursework or professional improvement<br />

and growth.<br />

18. Disability, not otherwise protected by law, that prevents the<br />

employee from performing the essential functions of the job.<br />

19. Any activity, school-connected or otherwise, that, because of<br />

publicity given it, or knowledge of it among students, faculty,<br />

and community, impairs or diminishes the employee’s effectiveness<br />

in the <strong>District</strong>.<br />

20. Any breach by the employee of an employment contract or<br />

any reason specified in the employee’s employment contract.<br />

21. Failure to maintain an effective working relationship, or maintain<br />

good rapport, with parents, the community, or colleagues.<br />

22. A significant lack of student progress attributable to the educator.<br />

23. Behavior that presents a danger of physical harm to a student<br />

or to other individuals.<br />

24. Assault on a person on school property or at a school-related<br />

function, or on an employee, student, or student’s parent regardless<br />

of time or place.<br />

25. Use of profanity in the course of performing any duties of employment,<br />

whether on or off school premises, in the presence<br />

of students, staff, or members of the public, if reasonably characterized<br />

as unprofessional.<br />

26. Falsification of records or other documents related to the <strong>District</strong>’s<br />

activities.<br />

27. Falsification or omission of required information on an employment<br />

application.<br />

28. Misrepresentation of facts to a supervisor or other <strong>District</strong> official<br />

in the conduct of <strong>District</strong> business.<br />

DATE ISSUED: 2/22/2010 2 of 5<br />

RECOMMENDATIONS<br />

FROM<br />

ADMINISTRATION<br />

SUPERINTENDENT’S<br />

RECOMMENDATION<br />

NOTICE OF<br />

PROPOSED<br />

NONRENEWAL<br />

29. Failure to fulfill requirements for certification, including passing<br />

certification examinations required by state law for the<br />

employee’s assignment.<br />

30. Failure to achieve or maintain “highly qualified” status as required<br />

for the employee’s assignment.<br />

31. Failure to fulfill the requirements of a deficiency plan under an<br />

Emergency Permit, a Special Assignment Permit, or a Temporary<br />

Classroom Assignment Permit.<br />

32. Any attempt to encourage or coerce a child to withhold information<br />

from the child’s parent or from other <strong>District</strong> personnel.<br />

33. Any reason that makes the employment relationship void or<br />

voidable, such as a violation of federal, state, or local law.<br />

34. Failure of a retired/rehired employee to meet the criteria for<br />

continued employment as set forth at DC(LOCAL).<br />

35. Any reason constituting good cause for terminating the contract<br />

during its term.<br />

Administrative recommendations for renewal or proposed nonrenewal<br />

of professional employee contracts shall be submitted to the<br />

Superintendent. Each administrator’s recommendation for nonrenewal<br />

shall be accompanied by copies of all pertinent information<br />

necessary to a decision to recommend proposed nonrenewal. The<br />

final decision on the administrative recommendation to the Board<br />

on each employee’s contract rests with the Superintendent.<br />

The Superintendent shall prepare lists of employees whose contracts<br />

are recommended for renewal or proposed nonrenewal by<br />

the Board. Supporting documentation, if any, and reasons for the<br />

recommendation shall be submitted for each employee recommended<br />

for proposed nonrenewal.<br />

The Board shall consider such information, as appropriate, in support<br />

of recommendations for proposed nonrenewal and shall then<br />

act on all recommendations. If the Board votes to propose nonrenewal<br />

for any employees, it shall also decide whether any requested<br />

hearing will be conducted by the Board or by an independent<br />

hearing examiner.<br />

The Superintendent shall deliver to the employee by hand or certified<br />

mail, return receipt requested, written notice of proposed nonrenewal<br />

not later than the 45th day before the last day of instruction<br />

required in the contract.<br />

If the notice of proposed nonrenewal does not contain a statement<br />

of the reason or all of the reasons for the proposed action, and the<br />

DATE ISSUED: 2/22/2010 3 of 5<br />

HEARING BY A<br />

HEARING EXAMINER<br />

HEARING<br />

PROCEDURE<br />

BOARD DECISION<br />

HEARING BY THE<br />

BOARD<br />

employee requests a hearing, the <strong>District</strong> shall give the employee<br />

notice of all reasons for the proposed nonrenewal, a reasonable<br />

time before the hearing.<br />

In the notice of proposed nonrenewal, the employee shall receive<br />

notice of whether the Board [see HEARING BY THE BOARD, below]<br />

or an independent hearing examiner [see HEARING BY A<br />

HEARING EXAMINER, below] will conduct the hearing.<br />

If the Board has determined that the nonrenewal hearing will be<br />

conducted by an independent hearing examiner, the employee<br />

must file a written request with the Commissioner of Education not<br />

later than the 15th day after receiving the notice of the proposed<br />

nonrenewal. The employee must provide a copy of this request to<br />

the Board.<br />

The hearing shall be conducted in accordance with the independent<br />

hearing procedures detailed at DFD.<br />

Following the hearing, the Board shall take appropriate action in<br />

accordance with DFD.<br />

If the Board has chosen to conduct the nonrenewal hearing rather<br />

than use an independent hearing examiner, and the employee desires<br />

a hearing, the employee shall notify the Board in writing not<br />

later than the 15th day after receiving the notice of proposed nonrenewal.<br />

The hearing shall be held not later than the 15th day after<br />

receipt of the employee’s request for a hearing, unless the parties<br />

mutually agree to a delay. The employee shall be given notice of<br />

the hearing date as soon as it is set.<br />

Unless the employee requests that the hearing be open, the hearing<br />

shall be conducted in closed meeting with only the members of<br />

the Board, the employee, the Superintendent, their representatives,<br />

and such witnesses as may be called in attendance. Witnesses<br />

may be excluded from the hearing until called to present<br />

evidence. The employee and the administration may choose a<br />

representative. Notice, at least five days in advance of the hearing,<br />

shall be given by each party intending to be represented, including<br />

the name of the representative. Failure to give such notice may<br />

result in postponement of the hearing.<br />

The conduct of the hearing shall be under the presiding officer’s<br />

control and shall generally follow the steps listed below:<br />

1. After consultation with the parties, the presiding officer shall<br />

impose reasonable time limits for presentation of evidence<br />

and closing arguments.<br />

DATE ISSUED: 2/22/2010 4 of 5<br />

NO HEARING<br />

2. The hearing shall begin with the administration’s presentation,<br />

supported by such proof as it desires to offer.<br />

3. The employee may cross-examine any witnesses for the administration.<br />

4. The employee may then present such testimonial or documentary<br />

proof, as desired, to offer in rebuttal or general support<br />

of the contention that the contract be renewed.<br />

5. The administration may cross-examine any witnesses for the<br />

employee and offer rebuttal to the testimony of the employee’s<br />

witnesses.<br />

6. Closing arguments may be made by each party.<br />

A record of the hearing shall be made so that a certified transcript<br />

can be prepared, if required.<br />

The Board may consider only evidence presented at the hearing.<br />

After all the evidence has been presented, if the Board determines<br />

that the reasons given in support of the recommendation to not renew<br />

the employee’s contract are lawful, supported by the evidence,<br />

and not arbitrary or capricious, it shall so notify the employee by a<br />

written notice not later than the 15th day after the date on which<br />

the hearing is concluded. This notice shall also include the Board’s<br />

decision on renewal, which decision shall be final.<br />

If the employee fails to request a hearing, the Board shall take the<br />

appropriate action and notify the employee in writing of that action<br />

not later than the 30th day after the date the notice of proposed<br />

nonrenewal was sent.<br />

DATE ISSUED: 2/22/2010 ADOPTED: 5 of 5<br />

  • More documents
  • Recommendations

Rtl Guide 2013-2014 - United Independent School District

UNITED INDEPENDENT SCHOOL DISTRICT FIELD TRIP GUIDELINES AND PROCEDURES Field trips require careful planning. They necessitate administrative and parental/guardian approval, suitable behavior for the occasion and sufficient orientation to ensure the most effective learning outcomes. The trip should originate from a current unit of study and be appropriate for the age and maturity level of the group. <strong>Student</strong>s should understand the field trip and what is to be learned. As soon as possible after the trip, the teacher should, with the students, review and evaluate the objectives of the field trip. The participation of any staff member of a school in the conceptualization, detailed design, planning, or implementation of any trip shall define the activity as “belonging” to the <strong>District</strong>. 1. TRAVEL <strong>Student</strong>s who must travel to participate in school-sponsored activities shall ride in transportation provided by the school to and from the event. In the event the parents elect an alternate mode of transportation for the student, the Parental Waiver of <strong>District</strong> Transportation and Liability form (Form 890-043) must be submitted to the sponsor for approval. FMG (LOCAL). 2. TRAVEL SUPERVISION <strong>School</strong> sponsored trips shall be supervised by at least one <strong>District</strong> employee, and all trips must be supervised by at least one teacher/chaperone for every ten students. Teacher sponsors are responsible for student safety and conduct while on the trip. 3. INSURANCE For all field trips, the <strong>District</strong> will require that a parent or legal guardian completely fill out the <strong>Student</strong> Medical Treatment Card for Field Trip/Out of Town Events which requests medical insurance information. In addition, the <strong>District</strong> shall require each parent or legal guardian to execute a Parental Release and Permission Form regardless of whether the parent or legal guardian provides evidence of medical insurance for his/her child. 4. FIELD TRIP PROPOSAL (Exhibit A) <strong>Student</strong>s who participate in trips shall be required to sign a written Agreement of Conduct, (Exhibit B) which shall include, but shall not be limited to, designation of curfew hours, a prohibition against the possession or use of tobacco, illegal drugs and alcohol, a prohibition against unsupervised coed visitation in student rooms and the understanding that the <strong>Student</strong> Code of Conduct in addition to any campus rules of discipline shall be enforced. All out of district trips or excursions must be submitted in proposal format, which must contain, but not be limited to the following: A. A clearly defined instructional purpose for the trip. B. A defined student/chaperone supervision ratio sufficient to meet reasonable safety requirements, which shall be not less than 10:1. C. A full accounting of the cost of the activity to be managed out of the local campus budget and/or Activity Fund. D. Documented pre-approved travel, transportation, and insurance coverage plans. E. A plan for medical emergencies. F. An explanation of any activity, which may be hazardous, and what safety procedures and precaution will be taken to assure safety of students. G. Any special training necessary for staff/chaperones and verification that staff/chaperones who supervise students have such training. Revised September 2010 Page 1

  • Page 2 and 3: 5. PRINCIPAL RESPONSIBILITIES A. En
  • Page 4 and 5: UNITED INDEPENDENT SCHOOL DISTRICT
  • Page 6 and 7: UNITED INDEPENDENT SCHOOL DISTRICT
  • Page 8 and 9: Chaprone Students Initials for Meal
  • Page 10 and 11: Ghaperone Students lnitials for Mea
  • Page 12 and 13: Chaperone Chaperone Students Initia
  • Page 14 and 15: Ghaperone Ghaperone Chaperone Stude
  • Page 16 and 17: Campus/Department Curriculum & Inst
  • Page 18 and 19: This form must be turned in within
  • Page 20 and 21: UNITED INDEPENDENT SCHOOL DISTRICT
  • Page 22 and 23: ITINERARY FOR UNITED INDEPENDENT SC
  • Page 24 and 25: Estimados Padres: Nuestra escuela (
  • Page 26 and 27: Insurance Name: Policy Holder: Grou
  • Page 28 and 29: Board of Trustees Pat Campos Presid
  • Page 30 and 31: 'sqESN CAMPUS: CLTIB: PIJRPOSE: I 2
  • Page 32 and 33: Parents (Please Complete) UNITED IN
  • Page 34 and 35: United ISD 240903 STUDENT ACTIVITIE
  • Page 36 and 37: United ISD 240903 TERM CONTRACTS DF
  • Page 38 and 39: United ISD 240903 TERM CONTRACTS DF
  • Page 40: United ISD 240903 TERM CONTRACTS DF

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MIA   >  Archive   >  Mandel

Ernest Mandel

De gaulle’s trip to moscow.

Source: From World Outlook , 29 July, 1966, Volume 4, No. 24, Paris and New York City Written: July, 1966 Translated: by World Outlook Transcrition & Marked-up: by David Walters for the Marxists’ Internet Archive 2009. Public Domain: Creative Commons Common Deed . You can freely copy, distribute and display this work; as well as make derivative and commercial works. Please credit “Marxists Internet Archive” as your source, include the url to this work, and note any of the transcribers, editors & proofreaders above.

[The following article has been translated from the July 9 issue of the Belgian left socialist weekly La Gauche.]

“As to alliances, we would think that they ought to be constructed ‘in three stages’: a Franco-Russian treaty procuring a first degree of security; the Anglo-Soviet pact and an agreement to be concluded between France and Great Britain constituting a second degree; the future pact of the United Nations, in which America would be a capital element, crowning the whole and serving as the ultimate recourse.” It was in these terms that Charles de Gaulle in December 1944, at the time of his first trip to Moscow, defined his concepts concerning European security, according to his Memoirs. (Volume III, p. 83, “Livre de Foche” edition.) Many things indicate that he has not changed his mind twenty-two years later. Wasn’t his second trip to Moscow designed to advance this concept?

Those with a more dour outlook will immediately object. The head of the Fifth Republic had something much more Machiavellian in mind. What he is aiming at is the predominance of France in Europe, or at least Western Europe if he is unable to extend it “from the Atlantic to the Urals.”

Since France doesn’t have the necessary economic weight, it must neutralize the drive of German industry through military superiority and diplomatic ruses. Hence it has two interests in common with the Kremlin—to block the Bundeswehr from getting nuclear arms and to break the American grip on “little Europe.” Thus the trip to Moscow was a power play against Washington and Bonn.

No doubt these analysts are right on the long-range aims of the general. But the nature of things is such that the designs of men—no Tatter how imbued with their own “grandeur”—are not at all sufficient to shape the destiny of the world. This is determined by the relationship among the big social forces. More than once in history, the diplomatic maneuvers of a power that was too weak have ended in serving the ‘big ones” despite the best intentions in the world. Didn’t this happen once again with the trip to Moscow?

Thus in the United States, the most cunning, like the servile tools of the (Johnson administration, carefully refrained from denouncing the general. “De Gaulle in Moscow served the United States despite the United States,” said some. ‘He worked for the whole West,’ others said approvingly. In Bonn, after weeks of glacial chill, the barometer of Franco-German relations again points to “fair weather.”

The truth is that de Gaulle, contrary to the groundless fears of some, did not betray his West German class brothers any more than he did his Polish class brothers at the time of his first trip.

In December 1944, Stalin dangled a “good, firm alliance,” real support against the Anglo-Saxons, in return for immediate recognition of the Lublin committee. But de Gaulle was not deceived. This would moan betraying a perhaps ‘democratic’ but certainly bourgeois Poland in behalf of a perhaps despotic but certainly noncapitalist Poland. And he did not want to take responsibility for an act contrary to “honor and honesty.” (Memoirs, Volume III, p sa.)

In June 1966, Brezhnev and Kosygin dangled an offer of just as real support against the United States, even genuine political leadership in Europe. In exchange they asked for recognition of the German Democratic Republic; that is, “of the two German states.” Be Gaulle brusquely replied that there could be no question of recognizing this “artificial construction. And with that rejoinder the serious conversation came to an end. The balance was nothing but decorations and fine talk.

Of course, the differences between Paris and Washington, between Fans and Bonn, are real in relation to the political future of our continent, its relations with the United States and the best strategy to follow to block the rise of the anti-imperialist and anticapitalist forces in the world.

Be Gaulle seeks a Europe freed largely from American supremacy. He seeks an Atlantic alliance on the basis of equality between North America and a Western Europe combined under his guidance. He favors a more supple policy, with regard to the USSR, which in his opinion should be definitively separated from China and the “extremists” among the revolutionists of the Third World, through some indispensable concessions.

He holds that it is necessary to “relax” the tensions to be able to resolve the questions in dispute, such as the reunification of Germany, while the Americans and the Germans of Bonn maintain that without this reunification no real relaxation is possible in Europe. But at bottom, they all defend a common cause—the cause of Big Capital. They all seek to hold back the enemy—socialism and the peoples of the Third World who are rising and seeking to break out of the capitalist world market. They all seek refuge under the “nuclear umbrella” of the Pentagon, without which they cannot counterbalance Soviet military power on the European continent (if anything confirms this, it is the explosion of the ridiculous French nuclear device in Polynesia which amounts to nothing in face of the power of the USSR). The means may differ, the aim is the same.

In this respect the Soviet Union represents something else again. The means are perhaps the same, but the aim is entirely different. Thus treaties on mutual consultation can be concluded—even by means of a direct telephone line!—treaties on technical cooperation, or whatever cultural and commercial exchanges are desired; the fundamental opposition between the interests of the French bourgeoisie and the Soviet leaders will by no means make it possible to form a genuine alliance in the present world context.

The Soviet leaders are aware of the weakness of the present Communist parties in Western Europe (for which they are in part responsible). They are aware of the temporary stabilization of caitalism in this part of the world (which they largely contributed to). From this they draw the conclusion that it is necessary to return to a policy that seeks to ‘exploit the interimperialist contradictions,” as before the second world war. They commit an error in believing that de Gaulle is ready to follow them into a tÃÂȘtei-tÃÂȘte, when he seeks in reality only to increase his power and prestige within the Atlantic Alliance

The French Communist leaders would obviously make a still greater error in concluding that the time has come for an ‘agonizing revision” of their political orientation in France, as in 1935 or 1944.

It is true that the policy of the USSR places them before a cruel dilemma; they no longer know if they should applaud or complain when the Soviet crowds cheer the person who remains, until proved otherwise, the fiercest and most dangerous class enemy of the French workers. If they oppose him, they are tempted to make an alliance with de Gaulle’s pro-American adversaries like Nollet and Nitterrand—and then the capitals of Eastern Europe are not very contented. And if they approve, what remains of their role as an opposition in France? There remains the socialist perspective which stands in complete opposition to the politics of de Gaulle; but the leaders of the French Communist party do not think this is any more “realistic’ than do the Social Democratic leaders of the SF10, or even the technocratic ideologists of neocapitalism.

That will the practical results of the trip amount to? The American Newsweek summarized the situation as follows: “At least he will have succeeded in engaging the Russians in a new diplomatic dialogue with the West.” That puts it in a nutshell. At a time when the intensification of the American aggression against the Vietnamese people makes a public dialogue between Moscow and Washington more difficult, de Gaulle is playing, objectively, the role of go-between for the Atlantic Alliance as a whole Thanks to him, the head of one of the capitalist states in this alliance has been acclaimed by crowds in the Soviet Union. For the first time in many years they have been shown a face of capitalism which their own leaders now say is benevolent, attractive, peaceful, full of good intentions toward the peoples of the world.

Pravda in connection with this trip, talks about an ‘irreversible process.” Let them beware of certain processes, which while still reversible, bode nothing good for the USSR. By attending mass in Leningrad, de Gaulle, like a good politician, was already prepa:ing for his coming trip to Poland. Rumania, ceaselessly increasing its trade with the West, already told the Russians in Bucharest that it would like to see the Warsaw pact modified just as de Gaulle wants to modify NATO. Decidely, if things are in movement, thanks not a little to the general, not everything is stirring in favor of socialism and not everything is stirring against the interests of American imperialism.

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Field Trips

Book a field trip at blackberry farm.

Blackberry Farm is a living history museum where pioneer life is re-created through educational demonstrations and hands-on fun. Our educational experiences complement classroom curriculum for grades Pre-K and up. Topics and hands-on activities align with Illinois State Standards. Below are the different field trips to review when deciding which field trip would best for your group.

  • Self-Guided Field Trips (May - Sept.)
  • Guided Field Trips (Sept. - Oct.)
  • How to Book Your Field Trip

Self-Guided Field Trips (May – September)

Self-Guided field trips are offered May-September. Self Guided field trips allow students to explore educational exhibits and demonstrations in addition to all of Blackberry Farm’s rides and activities. For more information about Blackberry Farm’s historical sites and attractions please visit our Plan Your Visit page.

May : Monday-Friday, 9:30am-2pm June-August : Monday-Friday, 9:30am-3:30pm September : Friday, 9:30am-3:30pm

Illinois State Standard: 15.C.1a, 15.C.1b, 18.B.1a, 16.A.1c, 16.A.1b, 16.A.2c, 16.B.2d, 16.C.2c, 16.E.2a

Field Trip reservations cannot be scheduled on Free Museum Days (2024 Dates: June 5, 19; July 3, 17, 31, August 14)

Guided Field Trips (September & October)

Guided field trips are offered September & October. Field trips are 2 hours in length and have a minimum of 25 students and a maximum of 100 students. Please Note: Blackberry Farm is closed to the public during guided field trips. Only the sites involved with the field trip will be open during the visit.

September : Monday – Thursday, 9:30 or 10 a.m. October : Monday-Friday, 9:30 or 10 a.m.

Apple Hayride (Pre-K to Grade 2):

Take a tractor-driven hayride to the farm’s own apple orchard, learn about the legend of Johnny Appleseed, see and use an antique apple press and sample some tasty apple treats.

Illinois State Standards: 15.C.1a, 15.C.1b, 18.A.1, 17.C.1a, 17.C.1b, 16.A.1A, 16.A.1b, 16.A.1c, 16.B.1

Pioneer Exploration (Grades 1 to 2):

Step into the life of a child from the 1800s. Students will receive a lesson in our One-room Schoolhouse, try their hand at daily chores at the Pioneer Cabin, visit with the weaver for a hands-on experience working with wool and learn about animals at the Discovery Barn.

Illinois State Standards: 15.C.1a, 15.C.1b, 18.A.1, 18.B.1a,18.C.1, 17.C.1a, 17.C.1b, 17.D.2b, 16A.1a, 16.A.1b, 16.A.1c, 16.B.2d, 16.C.2c, 16.D.2B, 16.E.2a

Destination 1800s (Grades 3 to 5):

Through hands-on and interactive activities, students will step back in time to learn why pioneers chose to move to Illinois and how they survived. Explore the Pioneer Cabin, Blacksmith Shop, Print Shop and Weaver’s Cabin.

Illinois State Standards: 15.C.1a, 15.C.1b, 18.A.2, 18.B.1a, 18.C.1, 18.C.2, 15.C.1a, 17.C.1b, 17.C.2c, 17.D.2b, 16.A.1a, 16.A.1b, 16.A.1c, 16.A.2c, 16.B.2d, 16.C.2c, 16.D.2b, 16.E.2a

One-Room Schoolhouse (Grades 2 to 5):

The One-room Schoolhouse program offers an immersive experience in the life of children of the 1800s. Activities will be led in the most authentic way possible and simulate actual lessons and activities form the days of the One-room Schoolhouse. Maximum number: 30 Students.

Illinois State Standards: 16A.1a, 16.A.1b, 16.A.1c, 16.B.2d

Please follow the link below for the required request form you will need to fill out in order to book your field trip.

Self-Guided Field Trip Form

Guided Field Trip Form

  • Download the appropriate form for your field trip type, fill out all fields, and email it to [email protected] .
  • A Blackberry Farm staff member will respond to your request within 48 hours. Blackberry Farm takes all inquiries on a first-come, first-served basis, and your submission will be responded to in the order in which it was received.
  • Once your field trip has been officially booked a confirmation email will be sent including all of your field trip details.

Still unsure which field trip would best fit your group needs? Have additional questions for our staff? We’re here to help. Fill out the form below and we’ll get back to you as soon as possible.

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Field Trip & Transportation Requests

Field Trips Site

If you need assistance, please contact Erika Guzman-Escobedo:

Email: [email protected]

Call: (972) 749-5788

Field Trip Quick Steps

Field Trip Quick Steps

Fillable Roster of Students and Emerg Contact Info

Fillable Roster of Students and Emerg Contact Info

Field trip permission form (eng), field trip permission form (span), chaperone acknowledgement form (eng), chaperone acknowledgement form (span).

Multiple Dates Opt Out Form

Multiple Dates Opt Out Form

Staff provided transportation.

Overnight Security Plan

Overnight Security Plan

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Field Trip Manual

Page navigation, 1-10-24 field trip manual update.

Field Trip Manual (Google Doc)

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Midland ISD Field Trip Manual

MISD Field Trip Checklist  

When completing an Out of State/Country Travel Request Form, please submit via email fundraising details and trip itineraries and agendas to your campus principal and appropriate Associate Superintendent or Designee.

MISD Field Trip Chaperone Form

Student Responsibility Contract  (for overnight trips)

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IMAGES

  1. Student Field Trip Request Forms

    uisd field trip form

  2. Field Trip Form Template

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  3. Fillable Online Field Trip Off Campus Fax Email Print

    uisd field trip form

  4. Field Trip Release Form

    uisd field trip form

  5. Fieldtrip Form Fill Out And Sign Printable Pdf Templa

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  6. Field Trip Permission Form

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VIDEO

  1. UISD Newscast #4 Feb 2, 2024

  2. Pre Trip Form A

  3. Using Quizizz on virtual field trips

COMMENTS

  1. United ISD

    Athletic Department Forms. Pre-Participation Physical Evaluation (to be completed by physician) Stadium & Gym Event Bag Policy. Stadium Guidelines. Student Extracurricular Insurance.

  2. Free Field Trip and School Permission Forms Templates

    Aug 2, 2018. While some schools may be lucky enough to have transitioned to electronic permission slips, many are still relying on the same photocopies that they've had for years. Thankfully, we've got some spiffy new school permission forms templates to help you retire your old forms without too much heavy lifting. 1. Class Party or Project.

  3. Student Travel Packet

    Field trip request forms submitted with incomplete or unreadable information<br /> will delay processing. To expedite processing, EAX your request to 47&6260.<br /> ... UNITED INDEPENDENT SCHOOL DISTRICT FIELD TRIP GUIDELINES AND PROCEDURES Field trips require careful planning. They necessitate administrative and parental/guardian approval ...

  4. PDF Student Trip Permission Form

    trip listed above and I have read the Student Trip Disclaimer above. I also understand that by signing below, I am indicating both my child and I understand the Student Trip Disclaimer and will agree to its contents. I recognize, however, that unanticipated situations and problems can arise on any trip, which situations or

  5. PDF Field Trip Permission Form 2022-23(1)

    Field Trip Permission Form 2024 - 2025. This permission slip will be used for day field trips for the 2024-2025 school year. Once this form has been completed, it will not be necessary to turn in another form, with the exception of overnight trips. Only one form per family needs to be completed. Please be sure to list the name and grade of each ...

  6. Child Day Care Regulation Forms

    Form 2937, Child Care Licensing Waiver/Variance Request. Form 2940, Request for an Administrative Review (English and Spanish) Form 2941, Child Care Operation Sign-in/Sign-out Log. Form 2947, Child Care Center Personnel Information Record. Form 2962, Verification of Liability Insurance.

  7. Free Field Trip Consent Form

    A field trip consent form is presented to parents/guardians to allow their child to attend a field trip organized by a school, church, or other organization. By signing this consent form, they liberate the school/organization of any liability and accept the risks involved in the field trip. It's important that the organizers describe the ...

  8. Field Trip Forms- Outside of California

    Student Field Trip Authorization and Release for Outside of California. 6. Field Trip Checklist. Galt Joint UnionHigh School District. 150 Camellia Way, Galt, CA 95632 Phone: (209) 745-3061 Fax: (209) 745-0881 Office Hours:Monday - Friday 8:00am - 4:30pm. Schools Parent Portal Board Calendar. Galt Joint Union High School District serves K-12th ...

  9. PDF STUDENT FIELD TRIP GUIDELINES

    All student trips, excursions, or special activities held off campus will be in compliance with board-approved basic guidelines, policies, and procedures contained in the listed References. For schools that report to the Secondary School Office 2, the following additional rules and guidelines will be applicable: Local Trips.

  10. Field Trip Permission Form

    Field Trip Permission Form. FieldTripPermissionSlip.pdf, 23.59 KB; (Last Modified on January 29, 2016)

  11. Field Trip Form

    Field Trip Form. Field Trips 2020-21.pdf, 204.42 KB; (Last Modified on September 10, 2020) Benbrook Middle-High School. 201 Overcrest Dr. Benbrook, TX 76126. Site Map. Preparing ALL students for success in college, career and community leadership. Contact Us.

  12. Student Travel

    Student Travel. Guidelines & Permission Forms. As an educator, you can inspire students to excel academically, socially and developmentally. Travel is just one of the ways to connect and inspire growth within your students. Travel can be essential to a complete education, when students have the opportunity to see first-hand what they are ...

  13. How Do I Apply for Field Experience at United I.S.D.?

    Step 1: Download and complete the following observation forms found on the Human Resources Department webpage: Criminal History Waiver Form. DPS CCH Verification Form. Observation Screening Requirements. Pre-Employment Affidavit Form. Step 2: Submit Observation Packet with all required documents to the Human Resources Department.

  14. For Parents / Field Trip Permission Form

    Castle Hills Elementary. Central Elementary. Coyote Ridge Elementary. Creekside Elementary. Degan Elementary. Donald Elementary - STEM Academy. Ethridge Elementary. Flower Mound Elementary. Forest Vista Elementary.

  15. PDF Guide for Requesting a Non-Athletic Field Trip

    Navigating/Creating a Field Trip Request 1. Creating a field trip request To start the process of requesting a field trip, locate and select the tab labeled "Create New Request." It will be located near the lower left corner of your screen. 2. What you will need to complete You will need to complete six tabs for your field trip request.

  16. Business Office / Field Trip Requests

    7 week advance notice. Tournaments (Athletic, Academic & UIL) Overnight trips do not require all forms from the Out of District packet (field trip request and parent permission only). However, notification to the School Support Office is still suggested. 7 week advance notice. Failure to follow HISD policies can result in disciplinary action.

  17. Transportation / Field Trips

    A field trip must be entered for each day of service. One trip number represents one day of service. Example: Camp Grady Spruce - A trip request must be put in for the day of departure and a second trip request must be put in for the day of the return. This includes competitions. Please call 214-931-0694 for after hour or weekend assistance.

  18. Ernest Mandel: De Gaulle's Trip To Moscow (July 1966)

    In June 1966, Brezhnev and Kosygin dangled an offer of just as real support against the United States, even genuine political leadership in Europe. In exchange they asked for recognition of the German Democratic Republic; that is, "of the two German states.". Be Gaulle brusquely replied that there could be no question of recognizing this ...

  19. Field Trip Permission Form (Eng)

    Field Trip Permission Form (Eng) Blank -ENG Field Trip Permission Form.pdf, 56.69 KB; (Last Modified on August 22, 2023) Site Map. 9400 N. Central Expressway Dallas, TX 75231 (972) 925-3700. Submit a Comment. Site Map. Dallas ISD Hotline; Dallas ISD Bullying Policy; Equal Opportunity Statement;

  20. Field Trips

    Guided Field Trip Form. Download the appropriate form for your field trip type, fill out all fields, and email it to [email protected]. A Blackberry Farm staff member will respond to your request within 48 hours. Blackberry Farm takes all inquiries on a first-come, first-served basis, and your submission will be responded to in ...

  21. Student Activities / Transportation

    Field Trip & Transportation Requests. Field Trips Site. If you need assistance, please contact Erika Guzman-Escobedo: Email: [email protected]. or. Call: (972) 749-5788.

  22. United ISD

    Forms & Handbook. Contact Us. Academic Calendar. District Directory. Public Relations (ITV) Schedule. Links With An Asterisk (*) Are For Internal Staff Only.

  23. Field Trip Manual / Overview

    Midland ISD Field Trip Manual. Posted by Jeff Horner on 7/24/2018 8:00:00 AM. MISD Field Trip Checklist. When completing an Out of State/Country Travel Request Form, please submit via email fundraising details and trip itineraries and agendas to your campus principal and appropriate Associate Superintendent or Designee.