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FORMS PORTAL

The deadline for private/parochial application has passed. An applicant that does not dwell in the District until after April 1st preceding the next school year for which transportation is requested, residency must be established within 30 days after ascertaining a permanent domicile. All other requests will be honored if there isn't an additional cost to the district.

REQUEST FOR TRANSPORTATION


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LEVITTOWN PUBLIC SCHOOLS

Levittown Memorial Education Center
150 Abbey Lane
Levittown NY 11756 		lps logo
STUDENT INFORMATION
STUDENT'S FIRST NAME

 LAST NAME

 DATE OF BIRTH
Select a date from the calendar.

ADDRESSS


CITY

 STATE

 ZIP

 HOME PHONE


SCHOOL PRESENTLY ATTENDING

 GRADE AS OF SEPTEMBER 2018


CONTACT INFORMATION
FATHER'S FIRST NAME

 LAST NAME

 CELL PHONE


MOTHER'S FIRST NAME

 LAST NAME

 CELL PHONE

CONFIRMATION E-MAIL ADDRESS

 (This e-mail address will ONLY be for corresponance regarding bus transportaion)

EMERGENCY CONTACT'S FIRST NAME

 LAST NAME

 PHONE


TRANSPORTATION REQUESTED TO THE FOLLOWING SCHOOL
SCHOOL NAME


OTHER:
(Please specify the school name)

SCHOOL ADDRESS

CITY

 STATE

 ZIP

 PHONE


SCHOOL SESSION START DATE
Select a date from the calendar.
SCHOOL SESSION END DATE
Select a date from the calendar.

SCHOOL SESSION START TIME

 SCHOOL SESSION END TIME


LATE BUS SERVICE - Board of Education Policy # 5720:
If needed, a written request for a secondary school late bus must be requested. Late buses will be provided only if there are a least five (5) requests per school to be maintained daily.
NO EXCEPTIONS

If you are interested in a late bus, you must check the appropriate box listed below.
LATE BUS REQUESTED

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