Bukalasa Agricultural College

Bukalasa Agric College

Study Trip Application Form

Bukalasa Agricultural College

P.O Box 174, Wobulenzi

“Agriculture for Health and Wealth”

OFFICE OF THE ACADEMIC REGISTRAR

Study Trip Application Form

PART A: SCHOOL DETAILS

School Name *

Location (Village/LC1) *

School Email

District *

School Type *

Primary

Secondary

Post Secondary

Nature *

Mixed School

Single Sex School

Indicate whether this is the first time you apply to visit the college for the study trip *

Contact

Name of Contact Person *

Position In School *

Telephone Contact *

PART B: STUDY TRIP DETAILS

Proposed Date of Visit *

Expected Number Of Students *

Expected Time Of Arrival *

Areas of Interest *

Crop

Livestock

Mechanization/Farm structures

Laboratory

Soil & water conservation

Others (Specify)

PART C: CATERING SERVICES

Indicate Whether you will need catering services :*

PART C: APPLICANT DECLARATION

I Understand that (Please tick) *
I have to pay the set fees prior to service access	I will comply by college regulations/instructions governing this activity
I will leave the college grounds clean whenever I happen to make use of them	I have to return this form at least 5 days to the proposed date of visit
If I do not observe the set date indicated in this application, I may be required to pay a fine for another appointment

I further declare that all the information provided in this form is correct and I take full responsibility for its use for this activity.

Name of Applicant *

Date *

Bukalasa Agric College

Study Trip Application Form

Bukalasa Agricultural College

P.O Box 174, Wobulenzi

OFFICE OF THE ACADEMIC REGISTRAR

Study Trip Application Form

I further declare that all the information provided in this form is correct and I take full responsibility for its use for this activity.

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