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 the Dean of Students will contact you if there is an issue.

"*" indicates required fields

Trip/Course Name*

Start Date*

End Date*

Start Time

End Time

Number of Participants

Pre-Trip Meeting Date*

Destination(s)*

Trip/Course Description

Trip Leader Name*

Email*

Cell Phone*

Add Additional Trip Leader

Yes

Trip Leader Name, Email, and Cell Phone

Add Additional Trip Leader

Yes

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 university currently has two vehicles that can be requested for official SNU 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, Max. file size: 1 MB.

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, Max. file size: 1 MB.

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.

Trip Details

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