Summer & Continuing Studies@Brown

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Summer Academic Field Trip Form - Within Walking Distance

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

Departing From (location)

First Destination

Address

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

Address

Destination Phone #

Destination Departure Time (estimated time for returing to Brown)

TICKETS

Check here if you need tickets

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

Additional information regarding your trip.

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