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Bus Transportation Fund Request
Student Name
(Required)
First
Last
School Name
(Required)
Student Grade Level
(Required)
Please state the year and school term(s) the student will need this fund (Ex: Fall 2026; Spring 2027; Summer [Explore] 2027, etc.). A new form must be filled out yearly.
(Required)
Has the student applied for the Pay-to-Ride program through the Transportation Department for the same semester that assistance is being requested?
(Required)
Yes
No
Student lunch status?
(Required)
Reduced
Free
Full Pay
Please describe the circumstances or financial situation that contribute to this student’s need for assistance with transportation costs. Include any factors that may affect the family’s ability to provide or pay for transportation.
(Required)
Name of person submitting form. (must be SPS counselor, nurse, coordinator of site intervention, attendance counselor, assistant principal, or principal)
(Required)
Are you an SPS Counselor, Nurse, Coordinator of Site Intervention, Attendance Counselor, Assistant Principal, or Principal?
(Required)
List your Position
Email
(Required)
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Email Address
*
First Name
Last Name