Home to College Transport Application Form

Section 1: Details of student and course
Name
First Last
Gender
- Male
- Female
Date of Birth
Address
Find address
Enter your postcode in Redbrige to select your address
Address*
Street Address Address Line 2 City County Postcode
Age (in September; at start of college)
Student Mobile No:
If you do not wish for the student to be contacted directly with transport updates, please leave blank
Details of the college attending in September:
College name:
College address
Street Address Address Line 2 City County Postcode
Course Studying:
Course duration:
College Contact Name:
College Contact Number:
Date course starts:

Once supporting documents have been received it takes 4 weeks to process an application

Section 2: Details of parent/carer
Title:
Name:
First Last
Address
Find address
Enter your postcode in Redbrige to select your address
(if same as child, leave blank)
Address
Street Address Address Line 2 City County Postcode
Home telephone number:
Work telephone number:
Mobile telephone number:*
* A mobile number must be provided as transport updates are sent by text message.
Do you want a copy of this application details to be sent to you?*
- Yes
- No
If yes, an email address must be provided on the email field below
Email:*
Enter Email Confirm Email
Email:

Section 3: Details of college times
Please indicate days and times transport will be required:
Monday start time
Monday finish time
Tuesday start time
Tuesday finish time
Wednesday start time
Wednesday finish time
Thursday start time
Thursday finish time
Friday start time
Friday finish time
Please indicate in the box below if college times are different (provide as much details as possible)

Section 4: Why travel assistance is required
This section MUST be completed or assistance will not be provided
A) Why does pupil need assistance? Please include all medical needs if applicable.
B) Does the student have a current Educational Health Care Plan (EHCP)?*
- Yes
- No
C) Did the student receive transport whilst attending school?*
- Yes
- No
D) Would the student be able to travel to college on public transport even if accompanied?*
- Yes
- No
E) Please give reasons why?
F) Any other relevant information

Section 5
Declaration
*
- I declare that to the best of my knowledge the information I have given is correct and complete. I will inform the Special Educational Needs & Inclusion Services if any details I have given change. I agree that if transport assistance is agreed, the information I have given may be shared with Redbridge Transport Services to provide my child with safe and appropriate transport.
Data Protection
Your personal information will be held and used in accordance with the requirements of the Data Protection Act 1998. We have a duty to protect the public funds we administer and may use the information you provide for the prevention and detection of fraud. We may also share this information with other bodies responsible for auditing or administering public funds for these purposes.
It can take up to 4 weeks to process an application form

Section 1: Details of student and course