East Longmeadow Public Schools
Bus Stop Change Request Form
Today’s Date:___________________
A request for a
change in a bus stop must conform to the following:
1.
The bus stop
must be the same Monday – Friday.
2.
The bus stop
must be on an existing route for the school the child attends.
3.
The change
is subject to availability.
Please indicate the
effective date for this change:___________________________________
(this change may take up to three business
days, the Transportation Manger will call after processing the request)
I request that the
pick-up/drop-off/both (circle one) for
Student’s Name:
_______________________________________________________________
be changed
to:_________________________________________________________________
Name and address of
Parent/Guardian:____________________________________________
____________________________________________
____________________________________________
Telephone
#_________________________
(where you can
be reached during the day)
________________________________________________
Signature
of Parent/Guardian
Signature of
Principal (does not indicate approval):__________________________________
Approved: Yes
No
Comments: __________________________________________________________________
__________________________________________________________________
__________________________________________________________________
_______________________________________________
Transportation
Manager