Trip Request

Special Education Transportation

Trip Request

The safety of our students is our primary concern. Never use a cell phone to receive or make phone calls or tests while driving a school vehicle.

Teacher Name

Method of Transportation

Date(s) of Trip Please complete daily, weekly or monthly

Where will you be departing from? and when?

Destination(s) & Address

Where will you be returning to? and when?

Total Number of People Attending, Number of Students in Wheelchairs, Number of students who walk?

If Bus, is a Driver Needed? (if no, list who will be driving)

Which Staff will be Attending and what is their contact number?

If Van, Who will be Driving?

Any Additional Equipment Needs? (Oxygen tank etc.)

Which students will be attending? What skills will be addressed?

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