School Activity Bus/Van Request Form
Please complete the online request and it will be approved/denied by appropriate WCUSD5 staff. You will be notified of approval/denial. You can call Audrey at 939-9770 ext, 431 with questions.
The Activity Bus is a white Chevrolet. It can transport 14 people plus the driver.
The School Van is a silver 2006 Ford. It can transport 7 people plus the driver.
Vehicle You Are Requesting *
The Activity Bus/Van should not be used for any personal business or transportation to sports camps.
Please initial that you understand the use restrictions of the vehicle. *
Your answer
Email address *
Your answer
Name *
Your answer
Organization *
Your answer
Date of Bus Usage *
MM
/
DD
/
YYYY
If this is an overnight trip please list the date vehicle will be returned.
Your answer
Leaving Time *
Time
:
Returning Time *
Time
:
Purpose *
Your answer
Destination *
Your answer
Estimated Mile of Trip/Meeting (round trip-there and back) *
Your answer
Will you be transporting students? *
You will need to fill out a trip report form listing any problems or comments regarding the vehicle after each trip.
Please initial that you understand you must complete the trip report. *
Your answer
The gas tank of the vehicle will need to be filled after each time it is used. You will need to have a receipt and turn it in with the trip report form after your trip.
Please initial that you understand the gas requirements for each time you use the vehicle. *
Your answer
You will need to lock the rear door at the end of your trip.
Please initial that you understand you must lock the rear door. *
Your answer
You must pick up keys between 6:00 am and 3:30 pm Monday-Friday.
Please initial that you understand pick up times. *
Your answer
When you pick up the van, the trip report form, key, and credit card will be located at the maintenance office, inside the door on the left just as you enter.
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