Attachment A

Explore
America
Governor Samuel Wilder King Island
46-155 Kamehameha Highway
Kaneohe,HI96744-3651

Dear Administrators, School Board and Principal at Governor Samuel Wilder King Island:
At EF Explore America, we appreciate your school's commitment to educational travel. We have always been part of EF
Education First's family of companies, the world's largest private educational organization. For nearly 50 years EF has been
serving the mission of breaking down barriers of language, culture and geography. Today we have over 400 schools and offices
around the world in more than 50 countries with a network of 36,000 teachers and staff. Together with educators across the
globe, we introduce students of all ages to the life-changing power of travel. You and the students in your community have
always been a part of and connected to the world's largest private educational organizations and the reach of our EF network
enables us to offer travel experiences unlike any other.
As the domestic division of EF, the name EF Explore America directly communicates what our company is about- helping
students explore the history, culture and beauty of America firsthand. From New York City and Washington, D.C. to Puerto Rico
and the Grand Canyon our tours open up the classroom and bring lessons to life. The Smithsonian Institution and all its
museums and affiliates will continue to be a part of our tour experiences. Our accreditation, liability coverage for your school
and teachers, the included Illness and Accident Coverage for all travelers, payments, contracts, remains a firm commitment to
our travelers.
You understand the value of travel for your students. As EF Explore America we will continue to be your dedicated educational
partner and are committed to helping your students have a safe, educational and fun travel experience.
TRIP DETAILS
Tour name: Washington D.C. & New York City
Tour number: 1522075YJ
Group Leader: Rochelle Tavares
TOTAL COSTS AND PAYMENT INFORMATION

Students: $2,625
(or $281 per month with EF's Monthly Payment Plan)

Adults: $2,900
(or $312 per month with EF's Monthly Payment Plan)
Non-refundable $99 enrollment fee must be paid at the time of enrollment.
It will be applied to the total cost of your tour.
TRAVEL INFORMATION
Departing from: Honolulu
Requested Departure Date:
Requested Return Date:
Tour Length:

Tuesday March 10. 2015 to start tour on Wednesday March 11. 2015
Tuesday March 17.2015
6 days+ 1 travel day at end of tour

EF Explore America

One Education Street

Cambridge, MA 02141

T: 800.503.2323

EFExploreAmerica.com

Education First

Explore
America
DETAILED PRICE BREAKDOWN*

$2,625 Program Fee**

Free Peace of Mind Program
$2,625 Total student fees (or $281/montht)
$275 Adult Supplement
$2,900 Total adult fees (or $312/montht)
WHAT'S INCLUDED:

- Round-trip transportation
-Hotel accommodation
- Daily breakfasts (except on arrival day)
-Nightly dinners (except on return day)
-Overnight hotel security
-Full-service Traveler Support Team
- 24-hour on-tour emergency support
- Illness and Accident Coverage
-All entrance fees and gratuities
-10:1 Free Place Chaperones.
In a new place, having more eyes on what matters ensures your students are never out of sight. With every group receiving one
free spot for every ten students, we offer the best free-place ratio for your school.
*Adult supplement required for age 20 and older at the time of
travel. Change and cancellation fees of up to the total price will
apply. Applicable airline baggage fees are not included and can
be found at www.EFExploreAmerica.com/Baggage. All prices
subject to verification by an EA tour consultant. To view EA's
Booking Conditions, visit www.EFExploreAmerica.com/BC.

**Program fee is the base cost of the trip based on specified number of full-paying travelers. May change depending on the final
number of travelers. Included in your Program Fee are current departure fees which include taxes and surcharges levied by
governments and airlines and may be subject to change prior to final payment. Prices above may not reflect special offers.
Discounts may apply at time of enrollment.

Scott Peterson
Sales Manager, EF Explore America
EF Education First
EF Center Boston
One Education Street
Cambridge, MA 02141

Office: 617-619-1022
Mobile: 612-978-0884
Skype: Scott.Peterson.EF
www.EFExploreAmerica.com

EF Explore America

One Education Street

Cambridge, MA 02141

T: 800.503.2323

EFExploreAmerica.com

Attachment B
Smithsonian
STUDENT

TRAVEL

Education First
Dear parents and students,
I am excited to announce that I will lead an educational trip with Smithsonian Student Travel! We will travel on the following tour:
Washington, DC & New York City. I chose Smithsonian Student Travel for their unique combination of affordability, hands-on learning
experiences and integration of Smithsonian educational resources into their trips. This will be an excellent opportunity for students to
see where history was made and to make memories that will last a lifetime!
Please find the details of our trip below, or go to www.SmithsonianStudentTravel.com and enter our tour number (1377501 CB) in the
box labeled "Enroll on a tour". The deadline to enroll on our trip is Saturday, Jul 27, 2013.
If you have any questions about Smithsonian Student Travel or the details of our trip, please contact their customer service team at
1.888.333.9756. You may also contact me with any questions.
Sincerely,
Rochelle Tavares
********************~************************************************************

DETAILED PRICE BREAKDOWN*

TRIP DETAILS
Tour name:
Tour number:
Group leader:

Prices are valid until 07/27/2013

Washington, DC & New York City

1377501 CB (use this number to enroll online)
Rochelle Tavares

$2,499
Free

TOTAL COSTS AND PAYMENT INFORMATION

Students:
Adults:

$2,499

(or $300 per month with EF's monthly

payment plant)

$2,774

(or $335 per month with EF's monthly

payment plant)

$2,499 Total student fees (or $3001montht)

$275
Adult Supplement
$2,774 Total adult fees (or $3351montht)
WHAT'S INCLUDED:

Non-refundable $99 enrollment fee must be paid at the time of enrollment.

It will be applied to the total cost of your tour.

TRAVEL INFORMATION
Honolulu

Departing from:
Requested departure date:
Requested return date:

Saturday, 03/15/2014
Thursday, 03/20/2014
6 days

Tour length:

. .-.

!...-.......,_,..--~~~~.~

...

~o.J0.~/9 -_i;:;~
.

online:

1. Go to www.SmithsonlanStudentTravel.com
3. Complete the online application
Or call customer service to enroll by phone:

Prices above may not refiect special offers. Discounts may apply
at time of enrollment.

1.888.333.9756
~~

--

'

--

-- .

~~

~~~

*Adult supplement required for age 20 and older at the time of

travel. Change and cancellation fees of up to the total price will
apply. Applicable airline baggage fees are not included and can
be found at www.SmithsonianStudentTravel.com/baggage. All
prices subject to verification by SST Tour Consultant. To view
SST's Booking Conditions, visit
www.SmithsonianStudentTravel.com/bc.
**Program fee is the base cost of the trip, valid until 07/27/2013,
based on 50 full-paying travelers. May change depending on the
final number of travelers. Included in your Program Fee are
current departure fees which include taxes and surcharges
levied by governments and airlines and may be subject to
change prior to final payment.

2. Enter your tour number (1377501 CB)

i

Round-trip transportation
Hotel accommodation
Daily breakfasts (except on arrival day)
Nightly dinners (except on return day)
Overnight hotel security
Full-service customer service team
24-hour on-tour emergency support
Medical and Accident coverage
All entrance fees and gratuities

-~~-~----.-....,~~''""': ~~.,.,..,.~---~.--'~:"

ENROLLMENT DEADUNE:

Enroll

Program Fee**
Peace of Mind Program

www.SmithsonianStudentTravel.com

- -- -

tMonthly cost if enrolled in payment plan 06/27/2013.

Attachment C

Overview

Why enroll your child on an

educational tour?

Bring classroom lessons to life for your child

Help your child improve his/her grades
See your child gain independence and confidence
Provide an unforgettable experience for your child
The Washington, D.C., Capital Tour
really brought our book knowledge to
real life experience.

What does EF Smithsonian Student

Travel do?

EF Smithsonian Student Travel believes every student

should have the chance to explore America. By making
their tours as affordable as possible, more students
can travel.

Tours consistently exceed the Smithsonians high

standards for quality and customer satisfactions.
A nation-wide network of offices provides local support
Annual, in-person inspections of all hotels, restaurants
and venues

What else does EF Smithsonian

Student Travel do?

Accredited tours means they meet the same standards as schools and college
Educational resources created by the Smithsonian Institution
Interactive activities on tour

Tour Consultant handles our tour details

A dedicated customer service representative for traveler and parent questions
Tour Director for on-tour logistics and is our expert local guide

How does EF Smithsonian Student

Travel keep students safe?

With groups 24-hours a day, from arrival to departure

Trained to handle on-tour emergencies

Additional security dedicated exclusively to our group

Tour groups have the support of a network of local offices

across America

Additional emergency support is always just a phone call

away

Smithsonian Student Travel ID Badge provides helpful

emergency contact information
Smithsonian Student Travel backpacks are brightlycolored and easily identifiable.

WASHINGTON D.C. AND NEW YORK CITY

WASHINGTON D.C. AND NEW YORK CITY

WASHINGTON D.C. AND NEW YORK CITY

View NYC from the observation

deck atop this elegant building
where the final showdown
between King Kong and the
police helicopters took place.

WASHINGTON D.C. AND NEW YORK CITY

WASHINGTON D.C. AND NEW YORK CITY

WASHINGTON D.C. AND NEW YORK CITY

What does the Program Fee include?

What does the coverage plan include?

Included in Program Fee

Medical and accident coverage
24-hour Emergency Assistance

All-Inclusive Travel Coverage Plan

($85 dollars)

Tour cancellation and interruption coverage

Program Fee protection
Baggage and property coverage
Personal delay coverage

See booking conditions or call

customer service (1.888.333.9756)
for complete details on this highly
recommended coverage plan.

Fundraising

Questions?

Attachment D

School Board &

Administration Booklet

A trusted partner in
education & travel
As your schools travel partner, EF Smithsonian Student Travel brings
exceptional educational experiences, quality, safety and value.

21st-century learning

We are part of EF Education First, a company with unmatched

educational travel expertise. For nearly five decades, EF has been
serving its mission to break down the barriers of language, culture and
geography through educational tours, cultural exchange programs,
language schools and academic programs. We are proud to be part
of this tradition and mission. By combining the expertise of EF with
the Smithsonian Institutions vast resources, our tours make for truly
impactful travel.

You know that education is more than a lesson within the walls of a classroom.
A travel program will give your students new ways to learn and become better
prepared for the challenges and possibilities that lie ahead.
When students travel they develop a new sense of confidence, curiosity
and responsibility. Lessons become contextualized and personalized. And by
connecting the classroom to the world, travel strengthens the skills that
students need for success in the 21st century. It lays the foundations for a
global education, right here at home.

Travel prepares students for success

In a study of thousands of students who had traveled with EF before the age of 18*:

High quality tours

Affordable prices
Every tour includes:
Round-trip airfare or bus transportation to
destinations and on-tour transportation

N early every student had earned a BA or higher

Free chaperone space for every 6 or 10

students (relative to tour price)

8 0% maintained a college GPA above a 3.0 and nearly half had GPAs between 3.5 and 4.0

Accommodations in quality hotels

M ore than 80% said they were better communicators and collaborators as a result of their
travel experience

 isits to special attractions and

V
licensed guides

N early 90% considered themselves to be better at problem solving and critical thinking

24-hour expert Tour Director

Breakfasts and dinners

* survey by AdvancedEd, commissioned by EF Educational Tours

Smithsonian membership
Departure fees
Gratuities
Illness & accident coverage
$15 million liability policy
Professional overnight security
$1 million consumer protection plan
Pre- and on-tour educational materials

Visit SmithsonianStudentTravel.com

Call 1.800.503.2323

EF, a leader in
experiential education
We create outstanding educational experiences for every traveler. Rich in
experiential learning and designed to stimulate multiple intelligences, our
tours make classroom lessons come alive.

Accreditation

Expert Tour Directors

EF Smithsonian Student Travel is accredited by

six prestigious accrediting organizations. This
means that all of our tours have been recognized
for their quality and educational value, meeting the
same rigorous standards as the best schools and
colleges. We are accredited by:

Every EF Smithsonian Student Travel tour has

a personal Tour Director who is with the group
during the entire tour. Trained in inquiry-based
learning, our Tour Directors get to know students
personally, challenge them to think critically and
creatively, and ensure no learning opportunity is
ever missed.

M iddle States Commission on Elementary

Schools (MSACES)
T he National Council for Private Schools
Accreditation (NCPSA)
S outhern Association of Colleges and Schools
(SACS)
Western Association of Schools and Colleges
(WASC)
N orth Central Association of Colleges and
Schools (NCA)
Accreditation International (AI)

Credit programs for students

By completing required coursework before,
during and after tour, students can earn high
school elective credit equal to 100 class hours.
With completed and graded work, students will
receive a transcript from EF Education First. And
through our partnership with Eastern Washington
University, students can also earn college credit,
which is fully transferable.

Credit programs for teachers

Enrichment tour for AP

Working with the Advanced Placement Program
of the College Board, we created a tour to
complement a U.S. history course curriculum.
Visit SmithsonianStudentTravel.com/APH for
more details.

Visit SmithsonianStudentTravel.com

Teachers can earn 60 professional development

hours by completing required coursework before,
during and after tour. The course meets the National
Staff Development Council Standards and the
National Board for Professional Teaching Standards.
Graduate level credit can also be earned through our
partnership with the University of the Pacific.
Learn more about student and teacher credit
programs at SmithsonianStudentTravel.com/Credit.

Call 1.800.503.2323

Risk management
We understand that liability is a concern for educators and schools. As
your travel partner, you can trust that our comprehensive plans provide the
coverage administrators, teachers and students need when traveling.

For Group Leaders & school districts

$15 million liability protection
All EF Smithsonian Student Travel Group Leaders and their school districts are covered during tour by
Commercial General Liability Insurance. This is provided by nationally recognized insurance companies
with A.M. Best Ratings of A-. Coverage is up to $15 million per occurrence (and in the annual aggregate)
for covered claims related to the tour regarding bodily injury, property damage, and errors and omissions.
To receive a certificate of insurance that specifically names you or your school as a certificate holder,
please call us at 800.503.2323.

Peace of Mind Program

We give you the flexibility to change the tour and/or departure date should the school board not allow
travel for safety reasons.

Safety is our top priority

While we ensure every tour provides students with exciting educational
experiences, our travelers' safety is top priority.

Safety First
Using EFs Safety First Program, we carefully
evaluate all safety aspects of our tours. This includes
nightly fire safety checks and background checks
for all on-tour personnel. Additionally, we personally
inspect all our hotels and restaurants each year.

On-tour safety &

emergency support
In addition to our office in Washington, D.C., our
travelers have the support of EFs network of offices
across the country. You can count on our staff to be
there with our 24-hour emergency service. Plus, every
Tour Director is fully trained to handle any challenging
situations and emergencies that might arise.

Best free-place ratio

for chaperones
We offer the lowest free-place ratio for chaperones in
the industry. Each group receives one free chaperone
spot for every six or ten students, relative to tour price.

Industry affiliations
Maintaining strong ties with leaders in the travel
industry ensures our service providers meet the
rigorous expectations of those who know the
industry best.
I nternational Air Travel Agent Network (IATA)
A merican Bus Association (ABA)
A irline Reporting Commission (ARC)

Dedicated hotel security

U nited States Tour Operators Association

(USTOA)

We provide additional overnight security at all hotels.

This professional security staff is exclusively dedicated
to monitoring your group. Chaperones can rest easy
knowing their travelers are safe and secure.

D estination DC (formerly the Washington, D.C.,

Convention and Visitors Association)
B etter Business Bureau
S tudent and Youth Travel Association of North
America (SYTA)

For every traveler

Included travel protection
The Program Fee includes our Peace of Mind Program, illness and accident coverage and 24-hour
emergency assistance.

All-inclusive Travel Coverage

The majority of our travelers choose this coverage for additional protection and to safeguard their
investment. This coverage includes tour cancellation and interruption protection, as well as personal
delay and baggage coverage.

Group Leader support

As an EF Smithsonian Student Travel Group Leader, your teacher will
have the support and training from our expert travel team.

Tour Consultants
During the planning and travel process, your teacher will work with a specialized team of Tour
Consultants to help with everything from selecting the right itinerary for your group to enrolling travelers
and getting ready for departure.

Educational Travel Advisors

New Group Leaders can connect with an Educational Travel Advisor (ETA) to learn more about leading
an educational tour. ETAs are experienced Group Leaders and fellow teachers who volunteer their time
to help teachers and students have successful, rewarding travel experiences.

New Group Leader Orientation

Every new Group Leader is invited to a free orientation weekend in New York City or Boston. Group Leaders
will get to experience a tour firsthand; attend seminars on educational travel; and meet EF Smithsonian
Student Travel staff, ETAs and new Group Leaders from around the country.

Visit SmithsonianStudentTravel.com

Call 1.800.503.2323

Smithsonian
Student

Tr avel

Teacher & student

testimonials
EF Smithsonian Student Travel is different because of the relationships
that they form with their Group Leaders. Theyre willing to do whats best
for students and Group Leaders. They become personally vested in each
and every tour.

Marc
Teacher, California
My students always come back overwhelmed and awed by seeing their
studies come to life. Teachers tell me that after going on the trip, the students
come back and share their connections in class discussions and they see a
marked difference in their understanding and appreciation for history!

Derrick
Principal, California
Going to New York with EF Smithsonian Student Travel was the chance
of a lifetime. Growing up in a small town, you cannot truly appreciate
the amazing sights, sounds and smells of NYC until you are there...really
there...standing smack dab in the middle of Times Square. It was a dream
come true.

C larisa
Student, Texas
The services EF Smithsonian Student Travel offers are really top notch. I
feel like Im part of the EF Smithsonian Student Travel family, and they are
always going to be there for me and go above and beyond.

Andrea
Teacher, Alabama
Seeing the Lincoln Memorial and standing where Dr. King gave his famous
I Have a Dream speech was like hearing the echoes of history.

Johnathan
Student, Indiana

+tcrs tlt

Bet,GJ,rrl("A-r~ ~

location

National Air and Space Museum

War Memorials

Ce;.t'I'\1'7'\C('l

..AJ.~lr~ ~et"~

Attachment E
..,r~ ~~J..s

Hawaii content Performance

Standard
Washington D.C.
Benchmark SC.8.2.2 Describe how
scale and mathematical models
can be used to support and
explain scientific data
Benchmark SC.8.7.1 Explain that
every object has mass and
therefore exerts a gravitational
force on other objects

Benchmark 5C.8.8.1 Compare the

characteristics of the three main
types of rocks

Benchmark 55.8.5.1 Explain the

responsibilities of citizens in a
representative democracy

Common Core Standard

Integration of Knowledge and

Ideas
7. Integrate quantitative or
technical information
expressed In words in a text
with a version of that
Information expressed
visually (e.g., in a flowchart,
diagram, model, graph, or
table).
Integration of Knowledge and
Jdeas Compare and contrast
the information gained
from experiments,
simulations, video, or
multimedia sources with that
gained from reading
a text on the same top.
68.RH.2 Determine the
central ideas or information
of a primary source; provide
an accurate summary of the
source distinct form prior
knowledge or opinions
6-8.WHST.2 Write
informative/explanatory
texts, including the narration
of historical events
68.WHST.3 In history/social
studies, students must be
able to incorporate narrative
accounts into their analyses
of individuals or events of
historical import.

Mount Vernon

Benchmark SC.8.8.3 Describe how

the Earth's motions and tilt on its
axis affect the seasons and
weather patterns

Integration of Knowledge and

Ideas Compare and contrast
the information gained
from experiments,
simulations, video, or
multimedia sources with that

gained from reading

a text on the same top.
55.8.3.6 Describe the emergence
of the two party system (including
Washington's farewell address
and the election of 1800)

68.RH.6 Identify aspects of a

text that reveal an author's
point of view or purpose
6-8.WH5T.2 Write
informative/explanatory
texts, including the narration
of historical events

'

US Capitol Building, Supreme

Court, Nationa I Archives

Benchmark SC.8.8.1 Compare the

characteristics of the three main
types of rocks

Benchmark 55.8.3.3 Describe the

ideas and principles (including
checks and balances, separation of
powers, representative
democracy) of the Constitution
Benchmark 55.8.3.5 Explain how
the Bill of Rights places limitations
on the federal government

Benchmark 55.8.4.1 Describe the

purpose and structures of the
three branches of the federal
government

Martin Luther King Jr. National

Benchmark 55.8.3.15 Explain the

68.WH5T.31n history/social
studies, students must be
able to incorporate narrative
accounts into their analyses
of individuals or events of
historical import.
Integration of Knowledge and
Ideas Compare and contrast
the Information gained
from experiments,
simulations, video, or
multimedia sources with that
gained from reading
a text on the same top.

6-8.RH.2 Determine the

central ideas or Information
of a primary source; provide
an accurate summary of the
source distinct form prior
knowledge or opinions
6-8.WH5T.2 Write
informative/explanatory
texts, including the narration
of historical events
6-8.WH5T.3 In history/social
studies, students must be
able to incorporate narrative
accounts into their analyses
of individuals or events of
historical import.
6-8.RH.8 Distinguish among

Memorial

Empire State Building

http://www.esbnyc.com/educatlo
n/st_grades_68.asp

Guided Sightseeing

World Trade Center Memorial

Impact of the Civil War on African

Americans
New York
Benchmark SC.8.2.1 Describe
significant relationships among
society, science, and technology
and how one impacts the other

Benchmark SS.8.4.3 Describe the

Influences of America on other
nations and/or organizations and
vice versa
Benchmark 55.8.4.3 Describe the
Influences of America on other
nations and/or organizations and
vice versa

fact, opinion, and reasoned

judgment

Integration of Knowledge and

Ideas Compare and contrast
the Information gained
from experiments,
simulations, video, or
multimedia sources with that
gained from reading
a text on the same top.

8.G.7 Apply the

Pythagorean Theorem to
determine unkno~.Vn side
lengths in right triangles In
real-world and mathematical
problems In two and three
dimensions.
6-S.RH.B Distinguish amQng
fact, opinion, and reasoned
judgment
6-8.RH.9 Analyze the
relationship between a
primary and secondary
source on the same topic
68.WHST.2 Write
Informative/explanatory
texts, including the narration
of historical events
6-8.WHST.3 In history/social
studies, students must be
able to incorporate narrative
accounts into their analyses
of individuals or events of
historical import.

Metropolitan Museum

Benchmark FA.6-8.1.7 Compare

the characteristics of artwork from
various historical periods and/or
cultures

Benchmark FA.6-8.1.8 Analyze,

using evidence, how cultural
factors have affected works of art
now and In the past

Broadway Show: Motown

Benchmark FA.6-8.1.9 Analyze,

using evidence, why specific works
of art were created
Benchmark FA.6-8.3.6 Explain
the effect and Impact of sets,
make-up, costumes, sound, light,
and props in a theatrical
performance
Benchmark FA.G-8.3.9 Explain
the role ofan audience in a
theatrical production

Statue of Liberty

Benchmark FA.G-8.3.12 Explain

how theatre has depicted the
history of America
Benchmark 55.8.4.3 Describe the
Influences of America on other
nations and/or organizations and
vice versa

6-S.RH.B Distinguish among

fact, opinion, and reasoned
judgment
6-8.WHST.2 Write
informative/explanatory
texts, including the narration
of historical events
6-8.WHST.3 In history/social
studies, students must be
able to Incorporate narrative
accounts Into their analyses
of individuals or events of
historical import.

Ellis Island

Benchmark 55.8.3.9 Describe how

the development of technology in
the first half of the 19th century
had an impact on American life
Benchmark 55.8.8.1 Explain
productivity in terms of output per
worker, hour, machine, or unit of
land, and its effects on standards
of living in 18th and/or 19th
century America

6-B.RH.S Distinguish among

fact, opinion, and reasoned
judgment
68.WHST.2 Write
informative/explanatory
texts, including the narration
of historical events

6-8.WHST.3 In history/social
studies, students must be

able to Incorporate narrative

accounts into their analyses
of Individuals or events of
hlstortcallmport.

Attachment F

Form 437a Rev 11100 RB 100108 (Rov

Af-'~4......._,

.
..

or AS 0214211

STATE OF HAWAII

REQUEST/APPROVAL FOR INTRA~STATE

OR OUTOF~STATE TRAVEL

DEPARTMENT OF EDUCATION
P.O. BOX 2360
HONOLULU, Hl96804
Intra-State Travel [B Out-of-State Travel

School or Branch:

Destination:

S.W. King Intermediate

Dlst. Or Dlv.:

No. & Name of Student Traveler(s) (attach list as necessary)

List will be submitted and updated as students register
for the trip

Washington DC & New York City

Windward

Trip No.

Namerrltle of School Chaperones (attach list as necessary)

Rochelle Tavares
Joelle Neuman
Mallory Barraza
Nameintle of Non-School Chaperones (attach list as necessary)
List will be submitted as parents register for trip.

PURPOSE OF TRAVEL: (Attach Program Agenda)

Educational Tour to Nation's Capital and New York City to provide students with a hands on learning experience.
Please see HCPS Ill and Common Core standard alignment attached
TRAVEL INTINERARY (Specify dates. times, and destinations)
De(;!arture Time
Date
Arrival Time
Date
3/11/15
TBA
TBA
3/10/15
TBA
3/14/15
TBA
3/14/15
TBA
TBA
3/18/15
3/18/15

Oates
From
To
March 11, 201 S
March 13, 201?
March 14, 2015
March 17, 2015
March 11, 201.5"
March 17, 2015

No. of Days

DURATION OF TRAVEL:
School Days..........................................
Non-School Days .................................
Total Travel Days .............................

3
4
7

COST OF TRIP:
Plane Fare ..........................
Ground Transportation ..........
Per Diem (meals/lodging) ......
Conference/Registration F=ee ..
Other (Specify) ....................
Total.. ............................

Destination (Cit!l, State}

Washington. D.C.
New York City, NY
Honolulu, Hawaii

Per Student x No.

$1,316

=Total

Per Adult x No.

$1,316

= Total

Group Totals

$1, 275
$99
$210
$2,900

$1,000
$99
$210
$2,625

SOURCE OF FUNDS:
Program 10/Program Title (Title of Fund)

Org ID

"- .... ----- -----

Student

Adult

Total

"

Type of Fund
General Fund
Federal Fund
------Special Fund
(Estimate of 50 students & 10 parents) I
Trust Fund
Other (Specify)
Fundraising I Personal
--~
(e.g., fund raising/donations/personal/
I
local school account)

1--------

$131,250

$29,000

$160,250

---Total
-See Reverse Side -

S 131,250

29,000

--

160,250

.-

COMPENSATION: (For signature of chaperones who are DOE employees)

1certify that no additional compensation will be requested because of my participation In this activity.

~~

2 {;,.'1/' "f
Name

Date

Name

Date

Name

Date

March 11,2015
From

Dates
March 13,2015
To

Date

Name

~UMW
~~~

2f:rM
ate

Name

~~11LIDate

SUBSTITUTES:

4
No. of Substitutes

3
No. of Days Per Substitute

Substitute charges are made to:

ProgramlD

Leave Code#
SAFETY AND OTHER CONSIDERATIONS:

[]) Describe safety proce~tures and guidelines to be followed during field trips to natural and water environments, If applicable.
If more space Is needed, attach separate sheel

[]) Safety procedures and guidelines will be shared with students and chaperones
[]) The guidelines/procedures for field trips/student travel have been reviewed and will be shared with students and chaperones.
[]) Appropriate ground and air transportation guidelines have been reviewed and will be shared with students and chaperones.
[]) Approval from receiving school Is on file, If applicable.

AUTHORIZATION FOR TRIP: (lntra.State Only)

D APPROVED

D DISAPPROVED
Principal

Date

COMPLETE THIS PORTION FOR OUT..OF.STATE TRAVEL ONLY.

SUBMIT ORIGINAL TO THE DISTRICT OFFICE FOR APPROVAL.
Request for trip approval:
I request approval of this_ out-of-state travel. ~J.. ~~~

/J

Prlnc$at

O:t 4S-l.OIIf
Date

AUTHORIZATION FOR TRIP: (Out-of..State Only)

D APPROVED D

DISAPPROVED
Complex Area Superintendent or Assistant Superlntandent

Distribution for OUT-of-Slate Trips: Original School, lo be aubmftted to Voucherlng for payment If applicable

Data
Copy-District Offlca

17lY

f;orm~:J~a Rev 8109 RS.!0.0168 (Rov .of RS 021421)

. ,_\
.-;:C_:~~

Attachment G

STATE OF HAWAII

~:.~

~IDau
Q~?/

~....!.. --~ D

I
!

REQUEST/APPROVAL FOR INTRA-STATE

t
OR ouT-OF-STATE TRAVEL
.

DEPARTMENT OF EDUCATION
P.o. Box 236o
OE.PJ
HONOLULU, HI 96804
S
Intra-State

0 EDUCATION

Tr~vel 0 Ou~-of-~~t:_rraveP_

School or Branch:

ZBIJ NOf ~- 'f!:P~::

s.w. Kmg Intermediate

Washin~~o~ __DC &~ ~ew Yo~k City

%QftfnWiin: _

3 ~indward

Trip No

No. & Name of Student Traveler(s) (attach list a~-;;-~~e-;~ary) Nameffitle-of Schoof Chaperone!:? (attach list as ~~~ary)
List will be submitted and updated as students register
j Joelle Neuman Tina Chan
for the trip
Mallory Barraza Rochelle Tavares

('YLh' ,[.,tv '1'

List will be submitted as parents register for trip

Date
3/12/14
3/16/14
3/19/14

times. and desiiilatio;:is)

Departure Time
TBA
TBA
TBA

Date
3/13/14
3/16/14
3/19/14

School Days
Non-School Days.
Total Travel Days

---- ---- - - -

Dates
From
March 12. 2014
----March 15. 2614

________

.,___

si.:~1a:

t..=_

---~~r~~~T ~ -~--~-$217'
.
. -$2.$)~.[_-~ :

--- ----

Per Adult x No.= Total

- - s1.31s
.<

Type of Fund
General Fund
Federal Fund
SpeciaiFund
---- -
......_
Trust Fund
{~_stimat~ o!_50 students & _10 pa~e.!:l_ts)
Other (Specafy)
Fundraising I Personal
(e.g .. rundratsing/donations/personai/" -
local school account)

l I-

To
March 14. 2014

~=--=-

_Gr~~p Tot~-~. l
!

'

$1. 345
$99:
- - - - - $217 .
- - ..... - j

--.....
I

--~---

$2,977 i

----

SOURCE OF FUNDS:
Program IDIProgram Title (Title of Fund)

; March 19:2o14- -
I__"_March-12!_~~~~-- L l'v1arch_19. 2o~ _~1

Per Student x No.= Total

Plane Fare ........... ..
Ground Transportation
Per Diem (meals/lodging) ...
Conference/Registration Fee .
Other (Specify) .
Total

New York City. NY

Honolulu. Hawaii

3
4
7

L_

.J

Destination (City. State)

Washington. DC

No. of Days

DURATION OF TRAVEL:

--COST OF TRIP:

.. --- - - . .- - - .

Arrival Time
TBA
TBA
TBA

.,

--- ---.. ~

1- ._ --- --------

Educational Tour to Nation's Capital and New York City to provide students with a hands on learning experience.
Please see HCPS Ill and Common Core standard alignment attached

--TRAVEL iNTINERARY (SpecifY dates.

-l

,1

I NamelTitle of Non-School c'tiaperones (attach ~~~~;-~eces~-;;y~

"'' l-1 ~ t c..c.;Jti'afl ""' 1-

PURPOSE OF TRAVEL: (Attach ProgramAgenda) ___ -

..:: ___ 1

--. --------
Org 10

Student

Total

Adult

. -t=.

"l_.. __ . ~----~~
!__
,

----+-.

$29. 770_~-

$131,600

-~

$161.370

l_____________________ .. ____ --i

1

Total

S 131,600

29.770
--

= 161,370

-1

-See Reverse SideCOMPENSATION: (For signature of chaperones who are DOE employees)
I certl_fy_ that no additional compensation will be requested because of my participation in this activity.

JI'?} [13
Date

Name

Date

Name

Date

Name

Date

gjl!j/ }_?

-~~

Date

cAot./,..Uw ~(,IN-

;f,r;[,~

Name

Date

SUBSTITUTES:
Dates
No. of Substitutes

No. of Days Per Substitute

From

To

Substitute charges are made to:

Leave Code#

Program ID

SAFETY AND OTHER CONSIDERATIONS:

[ ] Describe safety procedures and guidelines to be followed during field trips to natural and water environments, if applicable.
If more space Is needed, attach separate sheet.

[ ] Safety procedures and guidelines will be shared with students and chaperones
[ ] The guidelines/procedures for field trips/student travel have been reviewed and will be shared with students and chaperones.
[ ] Appropriate ground and air transportation guidelines have been reviewed and will be shared with students and chaperones.
[ ] Approval from receiving school is on file, If applicable.

AUTHORIZATION FO,R TRIP: (Intra-State Only)

D DISAPPROVED

APPROVED

Principal

Date

COMPLETE THIS PORTION FOR OUT.OF-sTATE TRAVEL ONLY.

SUBMIT ORIGINAL TO THE DISTRICT OFFICE FOR APPROVAL.
Request for trip approval:
I request approval of this out-of-state travel.

i7w<tt1J tl~

O!i'1-l~

Principal

Date

AUTHORIZATION FOR TRIP: (Out-of-state Only)

WPPROVED

DISAPPROVED

~ ~atl4/-

11.15: /~

Complex Area Superintendent or Assistant Superintendent

Date

Distribution for OUT-of-State Trips: Original School, to be submitted to Voucherlng for payment if applicable

_____Approved _____Disapproved

&:_
~erintendent's

Copy-District Offica

t{ )1
l'l

Signature

oo;,,:o;t:;.:'.':\

::.

1,

t,

... ,

.....

,t

..:. .: .
,.j''

'I;

-:.

:;.

-~

:..... _.:.'

....: ,. .

'!

..

;: ~
.. ~

'. '

.:

.:','

.::-:.: ;:.

,...
.:

:.!''

.....

..

'

,'

.....

,.
.\;~:.~-~

.. : :: .'' . .. ~--~

0.. ' '

- ...

, ..

. ....... .'!

~;

-~

. -:; ..

...

;~

!:

. :'

'1,'1

:;:

0.~; ~.::~t-, $;';

:; ! ;

~~~-~-;

'i': . .....

:.

...... .

. .. .. ..

. ..' .-::
~

.... ~

-~

'

:"'.

...

.....

.t~.

'.

.. ' ........... -.

;s

..

... . :.

: ;......

'-:~ '

': , f,

o,

. .:~,~~. _.
.

;,

. ..

.
.._

;\ .

..

...

. ....
.
~,

-~.

: ... !... ... :,

. ~.
~- ..;.

........

....

.-_.

~'

.....

.. . :
.:.

.,. .: .. ...: .
.~.

. : . .

... ; . .

!.'')0':.:0:

.. (.

.....:.

:'

. ,. oo:o.

',',

...

n :'_:.t

... ":,;.\

. !.... i .'.l~-;

.~

~-. , .

..

..
_i_

,'

..

..

'

: ,~

-~.

.....
.. .

t :.~.

....

.i. , .

#,'

..

'o
.,

.
~

. .....~:: ~-:~,.:)

.:.

._.,;,

:;o

....

O.O,A

0.:-:-: ; .~ :: .. ,,- .....~ :.,' .... . : ..

:~~-~r:-~
. .

'

:i

. .. :

... ...

'0

.:: .. ,:

.,

! ... : -:~'

...

,. , ..
,

.,

:-. ~ ;.

:: ~

;;

.'

.....

."_J''"

.' ,. ~

;',':_

~ . i . .. ' ,..

. ,...,_.-.~ .! '

..

_-_-:-~. ~-~~

r:

. , ....

..,

..

~t

,:'5~:
';.'-

,,c"-o

!.

Attachment H
Fonnl37a Rov.lllllll RS 10.0168 !Rav. of RS D'l-14211

,.,~"'"':1..

STATE OF HAWAII

RE6WiiSIJff&m&OVAL FOR INTRA-STATE

dff'efuT-OF.STATE TRAVEL

. .

DEPARTMENT OF EDUCATION
P.O. BOX 2360
HONOLULU, H196804
~~
lntra..Stnte Travel
Out-of-state Travel
School or Branch: King Intermediate School

!lr

~ti~'Z ~~tgton DC/NYC

Dist. Or Div.: Windward

No. & Name of Student Traveler(s) (attach list as necessary)

Trip No.

Name/Title of School Chaperones (attach list as necessary)

14) AM~t~HIA

full) ~ f,fZ;r

""'w.r

Name/Title of Non-School Chaperones (attach list as necessary)

ffl(,ll

MWftut-

PURPOSE OF TRAVEL: (Attach Program Agenda)

To have real-world experience and application of benchmarks taught in Social Studies and English Classes.

TRAVEL INTINERARY (Specify dates, times, and destinations)

Date
Date
DiQi!liYre Time
Arr.i~IIImg
3/12113
8:00pm
3/13/13
11:00 am
3/15/13
2:00pm
3115/13
7:00pm
3/19/13
1:00pm
3119/13
7:30pm

DURATION OF TRAVEL:

Destiniljgn fQib!, l1e)

Washington DC.
NYC
Honolulu

Dates

No. of Days

School Days..........................................
Non-School Days.................................
Total Travel Days.............................

To
3/15
3/19

From
3112
3/16

4
4

COST OF TRIP:
Plane Fare..........................
Ground Transportation ..........
Per Diem (meals/lodging) ......
Conference/Registration Fee.
other (Specify) ....................
Total ..............................

Per Adult x No. = Total

Per Student x No. =Total
$10,000
$70,000 1000.00 10
1000.00 70
$3000
300.00 70
$21,000
300.00 10
$12,000
$70,000 1200.00 10
1000.00 70
$14,000
$2000
200.00 70
200.00 10
$2500

70

$175000

$2700

10

Group Totals
$80,000
$24 000
$82,000
$16,000

$27000

$202 000

Adult

Total

SOURCE OF FUNDS:
Program ID/Program TIUe (TIUe of Fund)

Org ID

Student

Type of Fund
General Fund
Federal Fund
Special Fund
Trust Fund
Other (Specify)
Fundralsing, Personal, Donations
(e.g., fundralsing/donatlonslpersonal/
local school account)

.
$202,000

Total $

-See Reverse Side-

= $202,000

... .
COMPENSATION: (For signature of chaperones who are DOE employees)

~:.

I certif.M that no additional compensation will be requested because of my participation In this activity.

t... ~...lt
4~ 11()
~~ChAA~~
I Lt~,~
~
D~

.
~-UasJ,;~?J\ I,':>
arne
Date

Uc~~~
Name

I f:~,f,a
Date

~~ ~
e

~~pJ

;~111
Date

Name

SUBSTITUTES:

4-

Ot ,, .. ,"

.3

No. of Substitutes

No. of Days Per Substitute

From

;t

*).101

Leave Code#

Program ID

Substitute charges are made to:

Dates

Of)~ If --I?J
To

SAFETY AND OTHER CONSIDERATIONS:

D Describe safety procedures and guidelines to be followed during field trips to natural and water environments, If applicable.
If more space Is needed; attach separate sheet.

Safety procedures and guidelines will be shared with students and chaperones

~ The guidelines/procedures for field trips/student travel have been reviewed and will be shared with students and chaperones.
[ttAppropfiate ground and air transportation guidelines have been reviewed and will be shared with students and chaperones.

D Approval from receiving school is on file, If applicable.

AUTHORIZATION FOR TRIP: (lntra.State Only)

D DISAPPROVED

UAPPROVED

Principal

Date

COMPLETE THIS PORTION FOR OUTOF..STATE TRAVEL ONLY.

,SUBMIT ORIGINAL TO THE DISTRICT OFFICE FOR APPROVAL.
Request for trip approval:
I request approval of this out-of-state travel.

~ ~
Principal

2-,-f?J
Date

AUTHORIZATION FOR TRIP: (Out-of-State Only)

J2(APPROVED

DISAPPROVED

fetJ, t. at1Je4Complex Area Superintendent or Assistant Superintendent

Distribution ror OUT-or-state Trips: Original School, to be submftted to Vouchering for payment if applicable

~13
Dale
Copy-District Office