Form to add, remove or modify student transportation

STUDENT TRANSPORTATION REQUEST

Lord Selkirk School Division Students

Complete this form if your child has been approved to attend a Lord Selkirk School Division program as a non-resident student and requires transportation to/from school.

All fields must be completed.

If you have questions, please contact the Transportation Department:

Transportation Department

Evergreen School Division

204-642-6263

transportation@esd.ca

School Year

Reason For Request

School

Grade

Student Last Name

Student First Name

Birth Date

Student ID

LSSD School

LSSD Program

Contact

Parent/Guardian Last Name

Parent/Guardian First Name

Home Phone Number

Relationship

Contact

Parent/Guardian Last Name - 2

Parent/Guardian First Name - 2

Home Phone Number - 2

Email - 2

Relationship - 2

Address

Street #

Street Name

City

Postal Code

Rural Address

Rge

Township

Range

Additional Address Notes

Submitted by

Processing time for new applications or change of address is 5-10 business days. Submitting an application does not guarantee transportation is available. While Evergreen School Division will make every effort to accommodate all students requiring transportation, certain routes have capacity restrictions that limit seating availability. If approved, confirmation of your child's bus route, pick-up location and pick-up time will be emailed to the address provided. Select all options

Last Name

First Name

Form to add, remove or modify student transportation

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

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