VAN TRANSPORTATION REQUEST

COLUSA UNIFIED SCHOOL DISTRICT
VAN TRANSPORTATION REQUEST
Date of Application

MonthDayYear
Date
School*
Supervisor*
Grade / Team
Date of Trip*

MonthDayYear
Date
# of Students*
Destination*
Departure time from school*

Hour Minutes

AM/PM Option
Pick up time from event:*

Hour Minutes

AM/PM Option
# of Vans Needed*
Van Information: Van #1, #2, #3, #4, #5, #6, #12, #15 seats 9 passengers plus the driver Van #4 seats 12 passengers plus the driver and requires a valid school bus license to operate Fee: $0.565 per mile for Vans #1-12

All Transportation Requests require a minimum two week notice for transportation department to coordinate

No Food Is Allowed In The Vans Or In The Buses
Purpose of this trip*
List any stops other than the destination for bus trips Bus drivers will not stop without authoriza tion List the approximate time for each stop
Comments or special notes If field trip includes lunch plans etc
BUDGET CODE*
Requests will be denied and returned without a valid code
Should be Empty: