Owatonna Preschool Transportation Application
There are many factors that go into bus placement such as the pick up and drop off address, preschool location, and time of class. Please read the information below. A copy of this application will be emailed to the email address below. Please forward this to your school for their records.
* Required
Email address
*
Your email
I am a
*
Choose
Parent or Guardian
Preschool Staff or Volunteer Filling out on Behalf of a Parent or Guardian
By clicking each box, I hereby agree that:
*
Applications will not be considered if any information is missing.
Bus rides are $1 each way.
I am aware that my child is not guaranteed a spot on the Preschool Transportation Route.
My child will be placed on a waiting list if they can't be accommodated on a bus route.
I consent to Disclosure, Mutual Release, and Sharing of Private Information among the partners within the Preschool Transportation Collaborative.
Any aggression against staff, including verbal aggression will not be tolerated and will result in suspension of services.
I am aware that if there are any behavioral issues, my child may be removed from the bus.
I am aware that all Preschool Transportation staff are mandated reporters.
If my phone number or address changes, I will contact SMART Transportation (855-762-7821) to update them on my new information.
If SMART Bus or United Way cannot reach the parents for drop off or in case of an emergency, the child may be subject to removal from the bus if no contact is available.
I understand that it is my responsibility to notify SMART Transportation (855-762-7821) if my child is sick or not needing transportation for the day.
Required
Child's First
*
Your answer
Child's Last Name
*
Your answer
Child's Gender
*
Choose
Male
Female
Preschool Attending in Owatonna?
*
Choose
Associated Preschool
Good Shepherd Preschool
Head Start
St. Mary's Preschool
Trinity Lutheran Preschool
Little Learners (Age 3)
Bright Beginnings (Age 4)
What type of transportation are you needing?
*
Choose
Pick Up Only (take to school)
Drop Off Only (bring home from school)
Pick up and Drop Off (VERY LIMITED - only select if you absolutely can't transport either way)
Where is your child being picked up or dropped off? (Select one pick up and one drop off)
*
Pick up from Home
Pick up from Daycare/Childcare (Also fill out Childcare Provider Details Below)
Drop off at Home
Drop off at Daycare/Childcare (Also fill out Childcare Provider Details Below)
Required
Which days will you be needing transportation (check all that apply)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Required
Class Start Time
*
Time
:
AM
PM
Class End Time
*
Time
:
AM
PM
If your child is not placed on the bus, will they still be able to attend preschool? (Note: Preschool Transportation was created for families with true transportation barriers, please be mindful of your own situation.)
*
Choose
Yes
No
If your child is not granted two-way transportation (TO and FROM school), will your child still be able to attend preschool?
*
Choose
Yes
No
Child's Age on Sept 1st, 2021
*
Your answer
Parent or Guardian Information
Parent/Guardian First Name
*
Your answer
Parent/Guardian Last Name
*
Your answer
What is your language preference?
*
Choose
English
Spanish
Somali
Other
What is your child's language preference?
*
Choose
English
Spanish
Somali
Other
Home Address
*
Your answer
City
*
Your answer
State
*
Your answer
Phone Number
*
Your answer
Work Phone Number
Your answer
Daycare/Childcare Information
If you selected that your child will be picked or dropped off from a Daycare/Childcare, this section is required. If this information is not applicable, please mark NA in each required field.
Daycare/Childcare Provider's Name
*
Your answer
Daycare/Childcare Provider's Address
*
Your answer
Daycare/Childcare Provider's City
*
Your answer
Daycare/Childcare Provider's State
*
Your answer
Daycare/Childcare Provider's Phone Number
*
Your answer
Daycare/Childcare Provider's Email
*
Your answer
Emergency Information
Please list two people, other than yourself, who can receive the child and/or be notified in case of an emergency.
Emergency Contact 1 Name
*
Your answer
Emergency Contact 1 Phone Number - Note: This cannot be the same phone number listed for the parents.
*
Your answer
Emergency Contact 1 Relationship to the Child
*
Your answer
Emergency Contact 2 Name
*
Your answer
Emergency Contact 2 Phone Number Note: This cannot be the same phone number listed for the parents.
*
Your answer
Emergency Contact 2 Relationship to the Child
*
Your answer
Accommodations
Does the student have any allergies?
*
Choose
Yes
No
Is the student on an IEP ( Individualized Educational Plan), 504 Plan or any other plan?
*
Choose
Yes
No
Please list any other accommodations.
Your answer
Final Review
Riding the bus is a privilege- I understand that I or another adult must be waiting for my child to get off the bus on time and if there are changes to my phone number or address I must notify the United Way of Steele County right away.
*
I agree
Required
United Way of Steele County has my permission to use my or my child’s photograph publicly. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.
*
Choose
Yes
No
If I move after my child has been assigned to a route, my child will be automatically moved to the waiting list until a spot becomes available.
*
I understand
Required
Scholarships
Scholarships are available! If you feel your family may be eligible for a scholarship for preschool transportation (funded by United Way of Steele County) please speak with your preschool director. Families that are eligible for free & reduced lunch with the school district generally qualify for free preschool transportation.
A copy of your responses will be emailed to the address you provided.
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