Approved Rider Request Form

Required

This form is for parents/guardians who need their student added back onto a bus route. To be an approved rider, the student must ride the bus at least 50% of the time each school week.

To have your student returned to their bus route, complete the information below with as much detail as possible. Each student must have their own form submitted (i.e. an individual form for each sibling). The form will be reviewed by a transportation staff member who will contact you within two business days.

We appreciate your patience as we review each request. Please note that submitting an approved rider request does not guarantee your student rider will be placed on the approved rider list.

Parent Namerequired

First Name

Last Name

Student Rider Namerequired

First Name

Last Name

Student Rider Addressrequired

Previous Student Bus Numberrequired

Previous Bus Stop Locationrequired

From the options below, please select why you are requesting your student be added back on the approved rider list:requiredPlease select up to 3 choices

This data used to make the decision is not accurate.

My student has not been meeting the 50% rider requirement, but they will from now on.

My student rider is a special circumstance please consider the information below (for example shared custody, childcare, work, long term absences, school activities, etc.)

Please select up to 3 choices

Please explain your reasoning for the above selection: required

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Approved Rider Request Form