File:  JJH-E-3 - Travel Sponsor/Chaperone Application

Name: ______________________________________________________________

Trip name and date: ____________________________________________________

Purpose and goals of the trip and why you wish to be a part of the trip:

(Write a paragraph answering this, including qualifications you bring to this travel.  Attach if necessary.)

This is a school-sanctioned trip and as such, all school district rules must be observed and enforced.

Prior to approval to attend the trip, each applicant must submit to the Colorado Bureau of Investigation (CBI) a complete set of fingerprints, taken by a qualified law enforcement agency, for the purpose of obtaining a fingerprint based national criminal history check.  As part of the fingerprint background check process, the CBI will forward the submitted fingerprints to the Federal Bureau of Investigation (FBI).  (If the applicant has already submitted fingerprints to the District or to the Colorado Department of Education, this step is not necessary).  Results of the prints will be sent back to the School District.

As an adult on this trip, my role is unquestionably to enforce school district rules and support all adults on the trip in that endeavor. Student trips have defined educational goals.  We acknowledge that students are still learning and that the adults will guide and nurture students during their time away from home.  Students need both extensive attention and supervision.  Extended travel is a privilege and a great opportunity for students at Summit School District.  One group or one student can jeopardize the future for all. Great investments of time, money and preparation will be put in place before ever leaving Summit County.  I take seriously my role as an adult on this trip and agree to follow all rules of the school district, work at all times to ensure the safety of the group and work with all adults on the trip to guarantee the success of this trip.

Signature: ______________________________________ Date: _________________

Association: ____________________________________ (parent, teacher, . . . )

Signature of sponsor: _____________________________

Signature of Principal: _____________________________

Revised:  December 14, 2017