Request for Transportation Under Act 372 for Non-Public School Students
Transportation assignments will not be carried over from school year to school year.  A new form for each student must be submitted the summer prior to each school year.  This must be received by July 1st to ensure transportation for the start of the school year.

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Email *
Student Status *
Required
Student's First Name *
Student's Last Name *
Date of Birth *
MM
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DD
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YYYY
Grade *
If your student is attending Kindergarten this year (2022-2023) please use KA for morning transportation or KP for afternoon transportation. Transportation is only provided one way.
Gender *
Student's Home Address *
Include City & Zip Code
Non-Public School *
Required
Parent/ Guardian's Full Name #1 *
Parent/Guardian's #1 Telephone Number *
Please Include the Hyphens
Parent/Guardian's #1 Email Address *
Parent/ Guardian's Full Name #2 *
Parent/Guardian's #2 Telephone Number *
Include the Hyphens
Parent/Guardian's #2 Email Address *
Transportation Request *
Required
Start Date
MM
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DD
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YYYY
End Date
MM
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DD
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YYYY
Does your student have allergies or disabilities that you would like our transportation department to be aware of?  If none, please type N/A *
I acknowledge that for a student to receive transportation services as a resident of this district, the student(s) and parent/guardian must maintain permanent residency within the district boundaries. It is my responsibility to notify the district immediately of any change in my residency.                                                                            Signature: *
Date *
MM
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DD
/
YYYY
Time
:
A copy of your responses will be emailed to the address you provided.
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