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.

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1. Full Legal Name *
2. Have you completed a Bend-La Pine School District Background Check.
*Background checks are required
3. Date of Birth
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? *
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?
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