REQUEST FOR TRANSPORTATION
MUST BE SUBMITTED A MINIMUM OF 14 DAYS PRIOR
TO THE DEPARTURE DATE WITH FUNDING SOURCE APPROVED
DESTINATION: NAME/LOCATION:
*
DATE OF TRIP:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
DESTINATION GPS ADDRESS (an address that will work in a GPS application like Google Maps):
*
DESTINATION PHONE (If one is available):
Format: (000) 000-0000.
TEACHER'S PHONE (for the communication with bus driver during trip):
Format: (000) 000-0000.
PRINT NAME OF TEACHER(S) RESPONSIBLE:
*
First Name
Last Name
TEACHER'S EMAIL
*
example@example.com
TEACHER BUILDING
*
Please Select
KES
AFES
MS
HS
CLASS/SUBJECT TO GO ON TRIP:
TIME: DEPARTURE FROM SCHOOL:
*
Hour Minutes
AM
PM
AM/PM Option
RETURN TO SCHOOL:
*
Hour Minutes
AM
PM
AM/PM Option
Will the bus need to make stops at multiple locations, circle one?
yes
no
If yes, provide a detailed description of where the driver will need to be and when they will need to be there:
NO. OF PUPILS:
+ NO. OF CHAPERONES:
+ NO. OF FACULTY:
TOTAL:
(Add the # of pupils to the # of chaperones and the # of faculty to determine the total that will ride the bus.)
FUNDS FOR TRIP TO COME FROM:
What is the educational purpose of the trip:
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Attach the following information to this REQUEST FOR TRANSPORTATION and attest that you have included it:
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All information that is going home to parents describing this field trip or a detailed description of the trip that will be sent to parents.
A roster of all student names and faculty/staff names anticipated to be attending the trip.
I have attached a detailed description of this field trip and rosters of everyone anticipated (students, faculty/staff) attending:
Signature of Teacher
*
Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please Note:
When final approved is granted, signed copies will be emailed to:
Building Principal
Teacher Requesting Transportation
Director of Student Transportation
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