Pre-Trip Proposal

Please use this form to request to take SNC students on an off-campus trip. This form must be submitted 4 weeks prior to trip departure date. Your Pre-Trip Proposal will be emailed to you upon submitting this form. Print a copy of the proposal to bring into the field. Your listed supervisor or Will Hoida, Dean of Students will contact you if there is an issue.

Trip/Course Name*
Start Date*
End Date*
Start Time

: HH

MM
End Time

: HH

MM
Number of Participants
Pre-Trip Meeting Date*
Destination(s)*
Trip/Course Description
Trip Leader Name*
Email*
Cell Phone*
Add Additional Trip Leader
- Yes
- No
Trip Leader Name, Email, and Cell Phone
Add Additional Trip Leader
- Yes
- No
Trip Leader Name, Email, and Cell Phone
Approving Advisor, Chair, or Supervisor Name*
Approving Advisor, Chair, or Supervisor Email*
Additional Email to receive this proposal
Pre-Requisites
Identify skills or previous courses participants need to participate.
Identify desired outcomes for the trip
Why do you need to take students off campus?
How will you travel to/from the off-campus site?
The college currently has two vehicles that can be requested for official SNC outings on a first come/first served basis. Please check Van Request if you would like us to check van availability for your trip.
Van Request
- Yes, I would like to use a campus van for transportation if possible.
Trip Details
Trip Classification*
- Urban (within minutes of advanced medical care; trip leader trained in first aid/CPR)
- Front-Country (within an hour of advanced medical care; trip leader trained in wilderness first aid/CPR)
- Back-Country (more than one hour to advanced medical care; trip leader trained in wilderness first response/CPR)
Accommodations during your trip
Campground, hotels, etc.; include names, locations & contact info.
Please describe your plan for trip meals
Closest/Local Medical Facility
Include name, location & contact info.
Local Law Enforcement
Include name, location & contact info.
Itinerary
Include detailed travel, timing, desired outcomes, and site management plan. Attach lesson plans when attaining approval.
Lesson Plan Upload
Accepted file types: doc, docx, pdf, txt, rtf.
Risks & Hazards
List specific risks & hazards associated with the outing and/or site.
Risk & Hazard Mitigation
List the specific precautions, actions, and equipment used to minimize risk.
Roster Upload: student names and cell numbers, emergency contact names and cell numbers
Accepted file types: doc, docx, pdf, txt, rtf.
Enter a student roster if you have one at this time. If any changes occur, notify your advisor/supervisor/chair by email ASAP. If a roster is not uploaded now, it is the trip leaders’ responsibility to email the advisor/supervisor/chair with a complete roster prior to the trip departure.

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Thursday January 17, 2019 | Campus Closed

Snow Day

Pre-Trip Proposal

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