_____________________________________________________________________________
Pursuant to section 3635-b of the Education Law, a petition shall be submitted in order to request that the Board of Education investigate the need to establish a Child Safety Zone for the purpose of transporting students to and from school.
The petition shall contain a minimum of 25 qualified voters of the school district or five percent of the number of voters who voted in the previous annual election of the members of the Board of Education, whichever is greater.
For requests that designates an area/neighborhood, please submit the application as a package for the entire neighborhood or area to be affected. The package shall contain the petition and application for each family requesting transportation.
_____________________________________________________________________________
Name of Parent/Guardian ________________________________________________________________________
Mailing Address ________________________________________________________________________
City _______ ZIP Code _ Telephone # ____ ________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Name of the Student(s) ______________________________________________________
Name of School to Which Qualifying ______________________________________________________
Student(s) is Walking
Address of School ______________________________________________________
City ______ ZIP Code ______
On a separate 81/2 inch by 11 inch sheet of paper, please provide a map or sketch showing the school route. As a minimum, this map should include the residence where the student(s) reside, location of the school that the student(s) attend, and the route the student(s) travel to and from school. Please indicate all street names and route numbers along the route.
N.Y. Comp. Codes R. & Regs. Tit. 17 § 191.7