Desktop Schools Popup

Select a School

707.7.4P - Request to Ride an Existing Magnet School Bus

707.7.4P - Request to Ride an Existing Magnet School Bus

Adopted: January 2010
Revised:

 

Download 707.7.4P - Request to Ride an Existing Magnet School Bus

 

This form should be completed by intradistrict and interdistrict transfer students that do not qualify for magnet school transportation but are able to use an existing magnet school bus.

Date of application                                           Transportation start date                      

student name (last, first, middle initial)                                   birth date                                                                                                         _____    _____    _____

                                                                                        month  date  year

sex

M               F

 

parent/guardian name (last, first, middle initial)

telephone number

(       )

 

parent/guardian address (residence)

 

 

city

zip code

 

student address (if different from parent/guardian)

city

zip code

 

 

resident district of student

city

resident district number

 

previous school attended

 

grade attended

 

 

requested District 196 magnet school

 

grade attending

 

 

student will use bus:

to school only           from school only                     both 

existing bus stop location (specify address of stop at which you wish student to be picked up and dropped off)

 

       

 

As a parent/guardian, I agree to provide for my child's safety while going to and from the District 196 bus stop prior to boarding and after disembarking from the bus.

A new form must be filled out prior to each school year. Requests will be approved after August 1.

_______________________________________                     ___________________________

signature of parent/guardian                                                                        date