Transportation Request Form WM (Responses)
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Supt. ApprovalTimestampName of Requester-Location of Event....(school/building name, address or gym/venue so our sub-drivers know...specifically for weekend trips) Give us enough so drivers can google the address! Thank you:) Reason for TripASSIGNED DRIVERDate Departing on TripDate Returning on TripTime Departing on TripTime Returning on Trip How many students/adults (riders) total?How many bus(es) are needed?How many 6 passenger (+1 Driver are needed)? We have THREE 7-passenger vans?How many 7 passenger (+1 Driver are needed)? We have TWO 8-passenger vans total?Load (Pick-up) From?Your Request will be routed to Kim: If additional concerns occur please route to Jacy...Are you requesting a Mini-Bus (23 elementary students or 15 adolescence)?Email of RequesterCell Phone of Requester (incase of emergency) This is for 1-6 individuals attending? (individual or small groups)
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YES8/3/2018 12:52:14Drake Van Roekel
Hampton-Dumont High School
All-State Auditions10/20/201810/20/20188:00:00 AM4:00:00 PM5
Not Applicable
Not ApplicableNot ApplicableHIGH SCHOOLKim KarsjenNo
dvanroekel@wmcsd.org
5158688352
Yes-1 SUV (Chevy Traverse) 6 or less staff
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YESDave ShipleyTBAHS State XC Qaulifying Meet10/18/201810/18/2018TBATBA20-301 busNANAHIGH SCHOOLKim Karsjendshipley@wmcsd.orgNA
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YESDave ShipleyOakleaf Golf ReinbeckMS/HS XC Meet10/13/201810/13/20187:15 AM2:00 PM30-401 busNA NAHIGH SCHOOLKim Karsjendshipley@wmcsd.orgNA
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YES8/3/2018 12:50:00Drake Van Roekel
Northview Middle School (Ankeny)
Marching Band Performance10/13/201810/13/20182:00:00 PM12:00:00 AM621 bus1 VanNot ApplicableHIGH SCHOOLKim KarsjenNo
dvanroekel@wmcsd.org
5158688352Not Applicable
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YES8/3/2018 12:48:26Drake Van Roekel
Fort Dodge High School
Marching Band Competition10/6/201810/6/20186:00:00 AM3:00:00 PM621 bus1 VanNot ApplicableHIGH SCHOOLKim KarsjenNo
dvanroekel@wmcsd.org
5158688352Not Applicable
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YESDave ShipleyJewell Golf CourseMS/HS XC Meet10/4/201810/4/20182:15 PM21:0030-401 busNANAHIGH SCHOOLKim Karsjendshipley@wmcsd.orgNA
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YESDave ShipleyFox Ridge Golf DikeMS/HS XC Meet10/2/201810/2/20182:00 PM10:00 PM30-401 busNANAHIGH SCHOOLKim Karsjendshipley@wmcsd.orgNA
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YES8/3/2018 12:54:03Drake Van Roekel
Timberline Middle School, Waukee
SCIBA Middle School Honor Band Auditions10/2/201810/2/20183:00:00 PM9:00:00 PM5
Not Applicable
Not ApplicableNot ApplicableHIGH SCHOOLKim KarsjenNo
dvanroekel@wmcsd.org
5158688352
Yes-1 SUV (Chevy Traverse) 6 or less staff
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YES8/3/2018 12:46:24Drake Van Roekel
Marshalltown High School and Urbandale High School
Marching Band Performances9/29/20189/29/20188:00:00 AM12:00:00 AM621 bus1 VanNot ApplicableHIGH SCHOOLKim KarsjenNo
dvanroekel@wmcsd.org
5158688352Not Applicable
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YES5/14/2018 11:19:56Patti EdlerMCC/ISUCollge Fair/College Visit9/25/20189/25/20188:30:00 AM2:00:00 AM822 busesNot ApplicableNot ApplicableHIGH SCHOOLKim KarsjenNopedler@wmcsd.org641-751-4739Not Applicable
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YESDave ShipleyHickory Grove ColoMS/HS XC Meet9/25/20189/25/201814:459:00 PM30-401 busNANAHIGH SCHOOLKim Karsjendshipley@wmcsd.orgNA
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YES8/3/2018 12:42:10Drake Van RoekelPella High SchoolMarching Band Clinic / Competition9/22/20189/22/201811:00:00 AM11:00:00 PM621 busNot ApplicableNot ApplicableHIGH SCHOOLKim KarsjenNo
dvanroekel@wmcsd.org
5158688352Not Applicable
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YESDave ShipleyGateway Golf MonroeMS/HS XC Meet9/20/20189/20/20182:15 PM9:00 PM30-401 busNANAHIGH SCHOOLKim Karsjendshipley@wmcsd.orgNA
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YESDave ShipleyOtter Creek TamaMS/HS XC Meet9/10/20189/10/20182:45 PM9:00 PM30-401 busNANAHIGH SCHOOLKim Karsjendshipley@wmcsd.orgNA
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YESDave ShipleySpring Lake Green Co.MS/HS XC Meet9/6/20189/6/20182:15 PM9:00 PM30-401 busNANAHIGH SCHOOLKim Karsjendshipley@wmcsd.orgNA
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YESDave ShipleyPine Lake EldoraHS XC Meet8/30/20188/30/20184:15 PM9:00 PM20-301 busNANA HIGH SCHOOLKim Karsjendshipley@wmcsd.orgNA
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YESDave ShipleyAmesISU XC MeetJeff Barry8/23/20188/23/20183:15 PM9:00 PM20-301 bus NANAHIGH SCHOOLKim Karsjendshipley@wmcsd.orgNA
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YES8/1/2018 11:58:21Kim TarbellPO Box 207Workshop TrainingKim Tarbell8/6/20188/6/20187:30:00 AM5:00:00 AM6-7
Not Applicable
1 VanNot Applicable
ELEMENTARY EAST SIDE
Kim KarsjenNoktarbell@wmcsd.org6414851583Not Applicable
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YESK.Karsjen for Brett NicholsonSt. Cloud, MNPLT TrainingBrett Nicholson8/5/20188/18/2018
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YES7/13/2018 14:55:52Cody HackettADM High SchoolTeam Football CampRich Taft7/29/20187/29/20188:15:00 AM7:00:00 PM35-401 busNot ApplicableHIGH SCHOOLKim Karsjenchackett@wmcsd.org6417515036Not Applicable
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YES7/13/2018 14:53:46Cody HackettAdele High SchoolTeam Football CampRich Taft7/28/20187/28/20189:15:00 AM7:00:00 PM35-401 busNot ApplicableHIGH SCHOOLKim Karsjenchackett@wmcsd.org7417515036Not Applicable
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YESS Stone(Claudia)UNIReturn from Cheer CampHelen Campbell7/19/20187/19/201812:00 PM201 busNANAHIGH SCHOOLKim Karsjen
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YESS Stone(Claudia)UNIGo to Cheer CampHelen Campbell7/16/20187/16/20188:15 PM201 busNANAHIGH SCHOOLKim Karsjen
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YES7/6/2018 11:39:52Dave ShipleyPLeasantvilleBaseball District GameHelen Campbell7/10/20187/10/20182:45:00 PM8:00:00 PM15-201 busNot ApplicableNot ApplicableOtherKim KarsjenNodshipley@wmcsd.orgNot Applicable
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YESDave ShipleyPleasantvilleBb District gameHelen Campbell7/10/20187/10/20182:45 PM8:00 PM15-201 busNot ApplicableNot ApplicableHIGH SCHOOLKim Karsjendshipley@wmcsd.orgNot Applicable
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YESDave ShipleyVinton-Shellsburg SB Regional PlayKim Tarbell7/3/20187/3/20184:45 PM10:3020-251 busNot ApplicableHIGH SCHOOLKim Karsjendshipley@wmcsd.orgNot Applicable
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