Charter School Transportation Form 25-26

2025-2026 SCHOOL YEAR
Staff Notes
Parent/Guardian E-mail
example@example.com
Application for Pupil Transportation for Residents of the City of Rochester to Non Public Schools.

A new application must be submitted each year by April 14. Please complete one application for each student. In

order to avoid delays, please print and write legibly.
School Attending in 2025-2026*
Student ID#*
Please enter your 9 digit RCSD ID#.
Student Name
Student Date of Birth*

MonthDayYear
Date
Gender
Grade Level for 2025-2026 School Year*
Is this application to provide a new address? Did you move?*
Home Address*
Apt
Zip*
Parent's Home Phone*
Work Phone
Extension
Emergency Contact*
Phone*
Extension
Will transportation be from or to any location other than home?*
Pick up location if different from home (Only for Students in Grades K through 8 and must be for 5 consecutive days)
Drop off location if different from home (Only for Students in Grades K through 8 and must be for 5 consecutive
Please check if your child has either of the following

IEP504 Plan

If you need to update your home address, please two provide proofs of address.

Owners may provide: A mortgage or closing statement, or a deed or tax bill to prove ownership, or a notarized homeowner affidavit, and any two of the following:

Income tax form
Utility or other bills
Membership documents (e.g. library cards) based on residency
Property tax bill
Telephone bill
RGE bill
Water bill
Oil company bill
Insurance bill
Official driver’s license, learner’s permit or non-driver identification
Bank statement
Voter registration documents
DSS Declaration
Documents issued by federal, state or local agencies (e.g. local social service agency, federal Office of Refugee Resettlement)
State or other government issued identification
Other original documents evidencing residency

Tenants may provide: A landlord statement, or a notarized residency affidavit, or a otarized rent receipt or notarized lease, and any two of the following:

Income tax form
Utility or other bills
Membership documents (e.g. library cards) based on residency
Property tax bill
Telephone bill
RGE bill
Water bill
Oil company bill
Insurance bill
Official driver’s license, learner’s permit or non-driver identification
Bank statement
Voter registration documents
DSS Declaration
Documents issued by federal, state or local agencies (e.g. local social service agency, federal Office of Refugee Resettlement)
State or other government issued identification
Other original documents evidencing residency
Please upload any Proof of Address Information.

Cancelof
Please upload second Proof of Address Information.

Cancelof

THE NEW YORK STATE EDUCATION LAW STATES THAT REQUESTS FOR TRANSPORTATION TO NON-PUBLIC & CHARTER SCHOOLS MUST BE
SUBMITTED TO THE TRANSPORTATION OFFICE BY APRIL 1st (Applications submitted after June 1st will experience delay in service)

Charter Schools	Private Parochial Schools
Return Completed Form to:	Return Completed Form to:
RCSD Student Placement Office	RCSD Student Placement Office
131 West Broad Street	131 West Broad Street
Rochester, NY 14614	Rochester, NY 14614
Attn: John Barry	Attn: Student Placement
Email: CharterInfo@rcsdk12.org	Email: PrivateparochialInfo@rcsdk12.org

Transportation is provided based on the Rochester City School District calendar. The district calendar can be found at www.rcsdk12.org. When the Rochester City School District is closed for any reason, we do not provide transportation service. Please call your school for information regarding transportation service on these days.

ELIGIBILITY REQUIREMENTS FOR TRANSPORTATION:

Any resident pupil who attends a regular day school program, in grades kindergarten through twelfth, in an approved private, parochial or charter school is entitled to transportation if he or she qualifies according to the following conditions:

A student must live over 1.5 miles from school in order to be eligible for transportation. If using a babysitter address:

Must be over 1.5 miles from school.
Must be Monday – Friday.
Must be in the City of Rochester.
Only for students in Grades Kdg. – 8th.

The school attended must be within 15 miles of the residence.

NOTE: TRANSPORTATION IS NOT PROVIDED TO ANY ADDRESS OUTSIDE THE CITY OF ROCHESTER.

CHANGE OF SCHOOL OR ADDRESS:

If a student has a change of school or address during the school year, a new application must be completed.

TRANSPORTATION ASSIGNMENTS:

Transportation for elementary students in grades Kindergarten through sixth are on yellow bus. Transportation for secondary students in grades seventh through twelfth may be yellow bus or Regional Transit Service (RTS) depending on the school.

Eligible applicants will be assigned transportation and notified by mail. If a student is assigned to Regional Transit Service, a temporary bus pass will be sent in the mail and the permanent pass issued by the school.

Due to the many steps necessary to accommodate your request and to provide safe transportation to all students, please note that changes may take 5-10 business days to go into effect.

Stephanie Morrill
Director of Pupil Transportation

Signature of Parent or Legal Guardian I have completed this form in its entirety and read the important information.
Signature

Clear
Date

MonthDayYear
Date
Print Parent or Legal Guardian Name
Should be Empty:

2025-2026 SCHOOL YEAR