(B6T) APPLICATION FOR PRIVATE SCHOOL TRANSPORTATION

NEW JERSEY STATE DEPARTMENT OF EDUCATION OFFICE OF STUDENT TRANSPORTATION

OFFICE OF STUDENT TRANSPORTATION
(B6T) APPLICATION FOR PRIVATE SCHOOL TRANSPORTATION

Please submit a separate application for each child to the private school
1. IT IS THE OBLIGATION OF THE PARENT OR GUARDIAN OF PRIVATE SCHOOL STUDENTS TO:
  1. ANNUALLY OBTAIN THE APPLICATION FOR PRIVATE SCHOOL TRANSPORTATION FROM THE ADMINISTRATIVE OFFICE OF THE PRIVATE SCHOOL FOR EACH STUDENT FOR WHICH TRANSPORTATION SERVICES ARE BEING REQUESTED. SUBMIT A SEPARATE APPLICATION FOR EACH STUDENT.
    
    NOTE:
    
    IF THERE IS A CHANGE OF HOME ADDRESS, A NEW APPLICATION SHALL BE SUBMITTED TO THE PUBLIC SCHOOL DISTRICT OF RESIDENCE.
    
    IF THERE IS A CHANGE IN THE NONPUBLIC SCHOOL OF ATTENDANCE, A NEW APPLICATION SHALL BE SUBMITTED TO THE PUBLIC SCHOOL DISTRICT OF RESIDENCE.
  2. COMPLETE THIS APPLICATION AND RETURN IT TO THE PRIVATE SCHOOL ON OR BEFORE MARCH 10TH PRECEDING THE SCHOOL YEAR IN WHICH TRANSPORTATION IS BEING REQUESTED.
    
    LATE APPLICATIONS – ANY APPLICATION RECEIVED AFTER MARCH 10TH WILL BE A LATE APPLICATION AND MUST BE ACCOMPANIED BY A STATEMENT OF THE REASON FOR LATENESS. ELIGIBLE STUDENTS WILL RECEIVE TRANSPORTATION OR AID IN LIEU OF TRANSPORTATION BASED ON THE DATE THE APPLICATION IS RECEIVED BY THE PUBLIC SCHOOL.
2. IT IS THE OBLIGATION OF THE NONPUBLIC SCHOOL ADMINISTRATOR TO ANNUALLY COLLECT THE APPLICATION AND SUBMIT IT TO THE PUBLIC SCHOOL FROM WHICH TRANSPORTATION IS BEING REQUESTED PRIOR TO MARCH 15TH.
3. IT IS THE OBLIGATION OF THE PUBLIC SCHOOL ADMINISTRATOR TO NOTIFY THE PARENT OR GUARDIAN AS TO THE DETERMINATION OF EACH APPLICATION BY AUGUST 1ST.
A DISTRICT BOARD OF EDUCATION SHALL PAY AID IN LIEU OF TRANSPORTATION TO THE PARENT OR GUARDIAN OF AN ELIGIBLE STUDENT ONLY AFTER RECEIVING A SIGNED “REQUEST FOR PAYMENT OF TRANSPORTATION AID” VOUCHER AS PRESCRIBED BY THE COMMISSIONER OF EDUCATION.
School Year*
RESIDENT DISTRICT BOARD OF EDUCATION*
Student's Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Date
Gender*
Parent/Guardian Name*

First NameLast Name
Email*

Confirmation Email
If you do not have an email address, please click https://support.google.com/mail/answer/56256 to create a free email account using Gmail. Once you have a new Gmail account, enter it to the left to proceed.
Daytime Phone Number*
Please enter a valid phone number.
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nearest Intersection to Student's Residence*
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Full Name of School to Be Attended*
Phone Number of School*
Please enter a valid phone number.
Address of School*

Street Address

Street Address Line 2

CityState

Zip Code
Student's Grade for the Coming Year*
Shortest One-Way Mileage Between Home and School*
Miles . Tenths of Mile
Date School Opens*

MonthDayYear
Date
Date School Closes*

MonthDayYear
Date
Time*

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Name and Address of School of Attendance in Prior Year*
Date*

MonthDayYear
Date
Signature*

Clear
Your Application has been reviewed by the Resident District Board of Education. The following determination has been made.

Transportation will be ProvidedYou are eligible for payment in lieu of transportationIneligible
Reason
Date

MonthDayYear
Date
Signature

Clear
Title
Should be Empty:

NEW JERSEY STATE DEPARTMENT OF EDUCATION OFFICE OF STUDENT TRANSPORTATION