Form – Field Trip Request Field Trip Request Is this travel associated with a registered CCS course? * Yes No Instructor Last Name: Instructor First Name: CCS Email: Department * Select Advertising Art Education Art Practice Communication Design Craft and Material Studies Entertainment Arts Fashion Accessories Design Foundations Illustration Interior Design Liberal Arts Photography Product Design Transportation Design Graduate Studies ITS Course Code * Select CLA CMD DAD DAE DAF DAH DAS DCE DCR DEN DFA DFD DFN DFS DGD DGL DGR DHS DIL DIN DLE DMA DME DNS DPH DPL DPR DSS DTR DVC ELS FAD GRD IXD MAE MOD SLP Course Number * Course Section: * Organization: * Please list the name of your trip Leader/s: * Where is the destination or locations of the trip?: * Begin Travel Date: * Begin Travel Time: * 12:00 AM12:30 AM1:00 AM1:30 AM2:00 AM2:30 AM3:00 AM3:30 AM4:00 AM4:30 AM5:00 AM5:30 AM6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM10:30 PM11:00 PM11:30 PM Return Travel Date: * Retrun Travel Time: * 12:00 AM12:30 AM1:00 AM1:30 AM2:00 AM2:30 AM3:00 AM3:30 AM4:00 AM4:30 AM5:00 AM5:30 AM6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM10:30 PM11:00 PM11:30 PM If you are human, leave this field blank. Submit