ࡱ> =?<5@ |)bjbj22 (0XXy|||| < ( fv v v v + )Pkmmmmmm$RfVQU @+ UU||v v uU|Rv v kUk "v  `m  q(k0(.||||h0E"g   LOS ANGELES UNIFIED SCHOOL DISTRICT Specially Funded & Parent/Community Programs Division Gifted/Talented Programs REQUEST FOR TRANSPORTATION WITH OR WITHOUT ADMISSION COST* BULLETIN NO. BUL-267 ATTACHMENT A July 16, 2003 Local Org. Date of School  FORMTEXT       District  FORMTEXT       Code  FORMTEXT       Trip  FORMTEXT       Bus Cost Admission Total Curricular Trip $ FORMTEXT       Cost $  FORMTEXT       Cost $  FORMTEXT       Destination  FORMTEXT       No. of Identified Students Total No. of Students Participating in Experience  FORMTEXT       Participating in Experience  FORMTEXT       Grade(s)  FORMTEXT       Subject(s) Involved  FORMTEXT       Has the planning and budgeting for this off-campus instructional experience (curricular trip) been described in the Content Description Form of the Local School Proposal on file in the local district office?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Have prearrangements been made with site personnel to ensure that the instructional experience will be specifically designed for gifted/talented students?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Explain (1) how this off-campus instructional experience is essential to meeting program objectives and (2) why this experience could not be provided at the school through other means, such as a visiting expert, audiovisual or on-line activities, or parallel laboratory experiences. Be specific as to how this experience addresses differentiation versus enrichment in the following three areas: (1) Differentiated preparation activities:  FORMTEXT       (2) Differentiated activities at site:  FORMTEXT       (3) Differentiated follow-up activities:  FORMTEXT       *NOTE: When seeking admission cost only, submit the  Request for Admission Cost Only , Attachment B, accompanying this bulletin.%&'2\_xyz   , . B D F P R ƻƪvqavRvjh;>*UmHnHujth;hx>*U h;>*jh;>*U#jh;h;>*UmHnHujh;hx>*Uh;h;>*jh;h;>*Uh;h-Uh-YPCJaJh-YPh]D<hF h`?5h`?h`?CJaJh`?CJaJhZ6h`?jhFUmHnHu &]^xyz  \ & {$a$gdEo$a$gd; $ |)a$gd-YP$a$gd`? @ gd`?&z)R ^ ` t v x     * , . 8 : J L ` b d n p xhjh*Shx>*UjDh*Shx>*Ujh*S>*UmHnHujh*Shx>*U h*S>*jh*S>*Uh*Sh-YPj\h;hx>*Ujh;>*UmHnHujh;hx>*U h;>*jh;>*Uh;(    " $ & 8 : N P R \ ^ ͹͹{k`h-UhEoCJaJjhEohx>*UjhEohx>*UjhEo>*UmHnHujhEohx>*U hEo>*jhEo>*UhEojh*Shx>*Uh*Sjh*S>*UmHnHujh*S>*Uj,h*Shx>*U h*S>*% jkuv}uc}#jFhl hxCJUaJhl CJaJjhl CJUaJh(CJaJhtCJaJ#jhEohEoCJUaJ#j^hEohEoCJUaJhthEoCJaJ#jhEohxCJUaJ#jvhEohxCJUaJjhEoCJUaJhEoCJaJ>?V$X$$$$%%%%%b&d&&&& hgd $ 88^8`a$gdl $ @^`a$gdt$a$gdt$a$gd;  \^rtv$$$$ $($R$T$V$$$$$$$$$$$$$Үңxjh]D<>*U h >*h(h h*S h]D<>* hl >*Uhl h-Uhl CJaJ#j2hl hxCJUaJ#jhl hxCJUaJhl CJaJhtCJaJjhl CJUaJ"jhl CJUaJmHnHu) Allow four to five weeks for processing. Principal s Signature Date ( FORMTEXT      )  FORMTEXT       Coordinator, Gifted/Talented Program School Phone No. (____) ________ Coordinator, Instructional Support Serv. Local District Phone No. Date  1) STATUS OF TRIP REQUEST: Date Approved by Instructional Support Services Not approved: does not address differentiation class/cluster is not composed of enough identified students for total funding More information is needed Submit to: Instructional Support Services Coordinator in charge of Gifted/Talented Programs in the District serving the school $$$$$$$% % %%%$%&%n%p%r%%%%%%%%%%%%,&.&0&`&n&p&z&&&&&&&&&&澺ҥҥznzh-UhF>*CJaJh-UhFCJaJh-Uh CJaJ h h jhhuUmHnHu h 3>* h >*h(h CJaJh(h j h]D<h]D<>*U h]D<>*jh]D<>*UmHnHujh]D<>*Ujh]D<h]D<>*U+&&&&'*','H'J'''6(8(n(t(v(x(((t)v)x)z)|)ø h h hxhFh(h(CJaJh(CJaJhFCJaJh(>*CJaJh h]D<CJaJh-UhFCJaJh-UhF>*CJaJ&('''4(v(x((v)x)z)|)$ 88^8`a$gdl  h@@gdF hgd &1h:p`?/ =!"#$%tDText1tDText2tDText3tDText4tDText5tDText6tDText7tDText8tDText9vDText10vDText11vDText12tDeCheck1tDeCheck2tDeCheck1tDeCheck2vDText13vDText14vDText15vDText16vDText17@@@ NormalCJ_HaJmH sH tH DAD Default Paragraph FontRiR  Table Normal4 l4a (k(No ListHH hu Balloon TextCJOJQJ^JaJxM x{M 0&]^xyztFVWYZ[w# U J K N 0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0@0 @0 @0@0 @0 @0 @0 @0@0 @0 @0 @0@0 @0@0@0@0(@0 @0@0@0@000@0@0 @000@0@0@0@0@0@0@0@0@0pMkWN z00hIz00@K3K\z00z00R $&|) &|) z) .:@GSY`lr frx M FFFFFFFFFFFFG G G$G$FFFFF8@,(  B    H  #  B S  ?M )ti tText1Text2Text3Text4Text5Text6Text7Text8Text9Text10Text11Text12Check1Check2Text13Text14Text15Text16Text17 /Hag N  AZsy N 1h2L3oN %-N 9*urn:schemas-microsoft-com:office:smarttagsplace8*urn:schemas-microsoft-com:office:smarttagsdate 1620037DayMonthYearhmN [v}N 3gv}N hmN  John Rivera's l  3Z6]D<`?-YP-Uhu;U_m=(*S xtF[Eo@lleellLM @ @$UnknownGz Times New Roman5Symbol3& z Arial5& zaTahoma"1h"{F"{F wfQQ!42QH ?m= John Rivera John RiveraOh+'0   < H T `lt|ss John RiveraohnohnFIELD TRIP FORM.dot John Rivera1hnMicrosoft Word 10.0@Ik@{&L@@ @ji Q՜.+,0 hp  Nimitz Middle SchoolcA  Title  "#$%&'()*+-./012356789:;>Root Entry F@^m @Data 1Table!WordDocument(0SummaryInformation(,DocumentSummaryInformation84CompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q