Colchester, Connecticut

3541 (1).5F-Strike

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2/10/25, 3:01 PM                                                                                     BoardDocs® LT




   Book                                    Policy Manual

   Section                                 3000 - Business & Non-Instructional Operations

   Title                                   Request For Bus Stop/Route Change Addition or Deletion Form

   Code                                    3541.5-F

   Status                                  Active




                                                                                                                                                            Form #TRN-F001
                                                                          COLCHESTER PUBLIC SCHOOLS
                                                            REQUEST FOR BUS STOP/ROUTE CHANGE ADDITION OR DELETION



               A separate form must be completed for students on different buses and in different schools all decisions made in accordance with Board of Education Policy P-3541.

                           School: _______________________________________ Bus: _____________________ Date:______________________

   Parent’s Name:_______________________________ Phone (H): _____________________ (W):______________________________

   Address:____________________________________ (Cell): _________________________

   Student’s Name:______________________________ Grade:__________________________

   STOP LOCATION: A.M. PICKUP ___________________ P.M. DROPOFF ___________________

   Does this involve Day Care? ________ YES _________ NO (If yes, list day care provider information: Day Care Provider Name: ________________________________

   Phone #:_____________________

   Address: ____________________________________

   REQUEST:
   ___________________________________________________________________________________________________________________________________________________________




   TO BE COMPLETED BY SCHOOL DIRECTOR OF EDUCATIONAL OPERATIONS:

   __________ Approved _______________ Denied _________________Other

   OFFICIAL COMMENTS:




   __________________________________________                            _____________________
   Colchester Public Schools Director of Educational Operations            DATE




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