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Transportation Issue

Click here to view the Nash-Rocky Mount Public Schools Student Parent Handbook

School Year

School

Grade

Student Last Name

Student First Name

Gender

Birth Date

More than one student matches the criteria submitted. Please select the student to use

Select

Powerschool Student ID

Home Address

Street number

Street name

Suffix

City/Town

Postal/Zip code

Telephone (home)

Telephone (mother / guardian)

Telephone (father / guardian)

Emergency Contact Name

Emergency Contact Phone

Issue to be Addressed

Driver Issue	Policy/Procedure	Decline Transportation
Travel Time	Walking Hazard	Bus Stop Location/Bus Re-assignment
Lateness	Eligibility	Vehicle (Bus) Issue
Communications

Please indicate the spcific nature of the issue in the comment area below.

If requesting an alternate bus stop location on existing bus servicing legal home address only

Current stop location

Route Number

New Stop location

Reason for Change

Effective Date

If requesting to re-assign student to another bus route servicing legal home address only

Current Bus Route

New Bus Route

Reason for Change

Effective Date

Route Concern

Please fill out this portion of the form ONLY if you have a concern regarding your child’s route.

Route Number

Route Concern

Once your request has been evaluated you will receive an email with the outcome to the email you have provided on this form.

Submitted by

I acknowledge that transportation procedures will apply from the Nash-Rocky Mount Sutdent Parent Handbook

Phone Number

Last Name

First Name

Email

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