PINE TREE ISD TRAVEL REQUEST
Name:________________________________Campus:____________ Dept/ Grade:_________
Type: Field Trip ________
Extra Curricular __________ Professional Growth __________
Budget Code:______________________________
Date Request Made:______________
PO#___________________________(Copy of the PO must be attached to travel request form)
Rationale for Travel ____________________________________________________________
_____________________________________________________________________________
Class or Group: ____________________ # of Students __________
# of Adults __________
Sponsors or Other Personnel Attending: ____________________________________________
_____________________________________________________________________________
Destination (Street Address if Applicable or School Name/Campus) (please provide as much
information as possible if you are requesting a bus driver.)
_____________________________________________________________________________
___________________________________________________________________________
Mode: Suburban _____ Car_____ # of Vans______ # of Buses______ Driver Needed: yes/no
Departure: Date: ______ Day: ________ Time: _______ am/pm Location______________
(Time to leave PTISD)
Return: Date:_________ Day: ________
(Where bus will load)
Load Time :_______________am/pm
Return Time:______________am/pm
(If on a Field trip: Load time is the time we will start loading buses
Return time is the time you will return to PTISD)
Originator Signature:____________________________________________Date:_________
Supervisor/Principal Signature:____________________________________Date:_________
Director of Curriculum Signature:__________________________________Date:__________
MUST BE SUBMITTED TO THE TRANSPORTATION OFFICE AT LEAST 14 DAYS PRIOR TO TRIP. YOU WILL BE CONTACTED BY
TRANSPORTATION IF THERE IS A CONFLICT OR IF THERE IS NOT AN AVAILABLE PTISD VEHICLE.
Driver Assigned:_____________________ Vehicle Assigned:_______________________
Revised 7/2016