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Transportation Request
INSTRUCTIONS: To be completed by parent/guardian and returned to the school administration office. Please allow for a delay of five business days (or 10 business days in September) from date of receipt for the requested change to come into effect.
District
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Conseil scolaire public du Nord-Est de l'Ontario
District School Board Ontario North East
Northeastern Catholic District School Board
School
Grade
Student Last Name
Student First Name
Gender
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F
M
N
S
X
Birth Date
Student ID
Alternate ID
More than one student matches the criteria submitted. Please select the student to use
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Section I – Request Type
Medical
Hazard
Out of Bounds
Out of District
More secure bus stop
Courtesy seating
Other (specify below)
Start Date
Supporting Documents
Attach supporting documents (joint custody calendar, medical note, etc.)
Instructions:
Click the
Browse
button to locate the file. Only allowed extension is
pdf
.
Click the
Upload
button to upload the file.
Uploaded File
Section II – Reason for Request
Section III – Student Information
Home Address:
House/Apt. number
Street name
Suffix
City/Town
Postal/Zip Code
Telephone (home)
Telephone (mother / guardian)
Telephone (father / guardian)
Morning Pickup Address:
Same as home address (see above)
If address is different, please complete the section below:
House/Apt. number
Street name
Suffix
City/Town
Postal/Zip Code
Contact name
Contact Phone
Contact Phone (alternate)
Afternoon Drop-off Address:
Same as home address (see above)
If address is different, please complete the section below:
House/Apt. number
Street name
Suffix
City/Town
Postal/Zip Code
Contact name
Contact Phone
Contact Phone (alternate)
Submitted by
I acknowledge that transportation procedures will apply.
Last Name
First Name
Email
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