Bus Stop Change Request Form

	Please fill out the following form to request a school bus stop change. Incomplete applications will not be considered. A transportation team member will notify you when a final decision on your application has been made.

	Your Name:*

	Home Address:*

	Email address:*

	Cell or Home Phone Number:*

	Route or Bus Number (If known):

	Stop is for what school level?*
	--Please Select--UnknownElementary SchoolMiddle SchoolHigh School

	Are you requesting a stop to be moved or created?*
	--Please Select--Move current stopCreate new stop

	Where are you requesting a stop to be moved or created?*

	Explain why this change is being requested.*