Summer & Continuing Studies@Brown

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Summer Academic Field Trip Form - Transportation Needed

POLICY: Faculty must make initial contact with destination to get permission to visit location (if permission is needed). Faculty is responsible for researching type of programs offered and/or tickets he/she would like curriculum staff to reserve or pre-purchase.

Instructor

Course Code

Course Title

Primary Phone #

E-Mail

TRIP DETAILS

Date of Trip

Your Cell Phone Number on Day of Trip

Departure Time From Brown

First Destination

Street Address

Drop Off/Pick Up Location at Destination (e.g. "side entrance”, “rear courtyard”, etc.)

Destination phone #

Destination Departure Time (for return trip to Brown or for second destination)

Please fill out below if field trip will have more than one location on the same day

Second Destination

Do you require transportation between first and second destination?

Yes

Street Address

Drop Off/Pick Up Location at Destination

Destination Phone #

Pick Up Time from Second Destination (for return trip to Brown)

TICKETS

Check here if you need tickets

Please be specific, e.g. "general admission tickets, a particular tour, etc."

Meals
Depending on the length of the trip and the destination, you may qualify for boxed lunches (w/ bottled water). We will contact you if your trip qualifies for a boxed lunch.

Additional information regarding your trip.

Brown University/Office of Summer & Continuing Studies 42 Charlesfield St., Providence, RI Summer@Brown.edu