BIO180

FIELD TRIP PROPOSAL FORM

Please complete this form if you intend on leading a BIO 180 biodiversity field trip

in the ²ƛƴǘŜNJ 201о quarter. You will be contacted by the Field Trip Coordinator after your proposal has been reviewed.

Name:

UW Department:

Student #: UW Net ID:

Cell Phone #: Alt. Phone #:

Title of proposed trip Make it catchy, clever, and descriptive.

A one-sentence trip description: Think of this as the ‘ad’ for your trip:

A long trip description: Where you would take students, what they would see and do, etc.

Fitness requirements / Accessibility issues / Safety notes: Degree of difficulty of walking, hiking, canoeing, etc. and any other accessibility or health and safety issues students need to be aware of.

Gear required:

Other gear:

Departure location: Trips using UW vehicles usually meet at the Kincaid loading docks near the Burke-Gullman and the pedestrian bridge to Hitchcock Hall. If not, include links to online maps or other information for starting locations off campus.

Timing (24-hour Clock, 1:30 PM = 13:30):

Departure time: Estimated time of return:

Preferred date(s) of trip(s): Dates you can commit to lead a trip; this information is required:

Other logistical or equipment requirements or notes:

Durable shoes Rain gear Water & Snacks Daypack

Hiking boots Warm clothing Lunch Binoculars

Long Pants Hat & sunscreen Insect repellant Camera

Sunday Mon. Tues. ²ŜŘǎΦ ¢ƘdzNJǎΦ Fri. Saturday

Current UW Relationship:

Undergrad. Student (BA/BS)

Recent Undergrad. (BA/BS)

Graduate Student (MS/ PhD)

Recent Grad. (MS/PhD)

UW Faculty or Staff

Partnership Group

Cost/Fee:$ $

Max. Students: UW aƛƴƛπVanǎ? Yes: No:

First Last

Email address:

Relevant knowledge/experience in biology, outdoor education, teaching, etc: This can include training or employment in related fields or sciences and more.

Return Field Trip Leader(skip to title)