Hoosier Explorers Trip Approval Application Form

Submit your request for approval for field trip funds prior to your planned trip.

Teacher Name ( First and Last)*
Teacher Email Address*
Grade*
Name of School*
School District*
School Phone Number (with area code)*
School Address (Street, City, State, & ZIP Code)*
Estimated number of students*
Date of Field Trip*
MM slash DD slash YYYY
Field Trip Destination (Must be within Indiana)*
Estimated Transportation Costs*
What are the educational objectives and/or benefits of the trip?*
Any additional information you feel would be useful for us in evaluating your request?
Name
This field is for validation purposes and should be left unchanged.