Kenowa Hills Public Schools
Web to Email Form
Requisition for Bus

NOTE:
If you are in need of special accommodations. Please contact the transportation office at ext 6301.

Your Email:


School:

Early Childhood Center

Alpine Elementary

Central Elementary

Zinser Elementary

Middle School

High School

Other

Grade:


Date bus is needed:


Time bus(ses) will leave school:


Time bus(ses) will leave destination to return:


Number of Passengers


Number of Busses:


Is driver requested to stay with group?:

No

Yes

*if no, trip may have 2 different drivers and be more cost effective*

PO Number:


Purpose of trip:


Destination(s) of trip:

(Please list all destinations)


Address (if possible):


Comments:


* All fields except address & comments must be completed.

* The information submitted will be emailed to the building for approval.

* You will be emailed when the request is approved or denied.

* Submissions are due one week before requested date.