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Garfield
Hawthorne
Helen Steiner Rice
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Palm
Stevan Dohanos
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Home
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Transportation
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K-8 Transportation Request Form
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K-8 Transportation Request Form
This form requires Javascript to be enabled for submission and authorization.
*
Required
Student ID Number
*
required
Student Legal Name
*
required
First Name
Middle (optional)
Last Name
Student Grade
*
required
Student Home Address
*
required
City
*
required
State
*
required
Zip Code
Phone Number
*
required
School
*
required
Please select up to 1 choice
Admiral King Elementary School
Frank Jacinto Elementary School
Garfield Elementary School
Hawthorne Elementary School
Helen Steiner Rice Elementary School
Larkmoor Elementary School
Palm Elementary School
Stevan Dohanos Elementary School
Toni Morrison Elementary School
Washington Elementary School
General Johnnie E. Wilson Middle School
Longfellow Middle School
Southview Middle School
Other
Please select up to 1 choice
If you selected other, please specify your child's school
Date of Birth
*
required
Must contain a date in M/D/YYYY format
Place of Birth
*
required
Sex
Male
Female
Ethnicity
White
Black
Hispanic
Asian/Pacific Islander
Multiracial
American Native
Student Lives With: (Check all that apply)
*
required
Both Parents
Mother Only
Father Only
Stepmother
Stepfather
Grandparent(s)
Foster Parent(s)
Other
Student Lives With: If other, specify
Previous School Attended
Parent/Guardian Name 1
*
required
First Name
Last Name
Phone Number (Home)
Phone Number (Cell)
Phone Number (Work)
Parent/Guardian Name 2
First Name
Last Name
Phone Number (Home)
Phone Number (Cell)
Phone Number (Work)
Emergency Contact
*
required
Address
*
required
City
*
required
State
*
required
Zip Code
*
required
Phone Number
*
required
CHARTER SCHOOL FAMILIES | Attach proof of residency. Needs to be within the last 60 days. **Must live over two (2} miles from the school to qualify for transportation, ORC 3327-01
Attach up to 1 file with a maximum size of 10MB
Select File(s)
No file chosen
Medical Alert Driver Should Know
Parent/Guardian Name (Please complete to indicate your signature.)
*
required
First Name
Last Name
Email Address
*
required
Date
Must contain a date in M/D/YYYY format
Transportation Agreement Disclaimer
*
required
This form is exclusively for students (Grade K-8) who live 2.0 miles or more from their home school and need transportation to and from school. All forms must be submitted to the Transportation Department for review. It takes about four (4) days to review and establish a student's route.
Submit