Walking School Bus Leader Application

Complete this form to apply to be a Walking School Bus Leader. Please review the Job Description prior to completing the application.

Sign in to Google to save your progress. Learn more
1. Full Legal Name *
2. Have you completed a Bend-La Pine School District Background Check.
*Background checks are required
*
3. Date of Birth
*
MM
/
DD
/
YYYY
4. Phone number
5. Email Address *
6. Physical Address *
7. Mailing Address (if different than physical)
8. Which school are you applying to lead the Walking School Bus to and from? *
Required
9. What route are you interested in leading - if not directly connected to your physical address?
10. Are you available to walk 5 days a week, in the morning? If not, PLEASE specify what days and times you are available.  *
11. Please list two (2) personal and/or professional references. Name and Phone Number.
12. How did you hare about the Walking School Bus Program?
13. This position requires walking 1-2 miles at a time with a group of students. Are you able to carry out the necessary job requirements and perform them well and safely? *
14. Why are you applying to be a Leader? What are you able to contribute to the Walking School Bus program?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Commute Options. Report Abuse