Bus Buddy Volunteer
Sign Up - Please print
Name:_____________________________
Email:_____________________________
Address:___________________________
Phone:_____________________________
_____________________________
Have you completed a volunteer form and background check?
❏ YES
When?______________
❏ NO
I would like to ride on a:
❏ Elementary Bus
❏ Middle School Bus
❏ High School Bus
❏ Any of the above
I would prefer to ride on a route that is for:
❏ My neighborhood school: Name of school __________________________________
❏ Any school that has the need
❏ NOT for my neighborhood school: Name of School ___________________________
I can ride in the Afternoons:
❏ YES
❏ NO
Days I am available are (circle all that apply)
Monday
Tuesday
Wednesday Thursday
Friday
Number of days per week you are available
❏ One
❏ Two
❏ Three
I prefer to ride with a
❏ Male Driver
❏ Female Driver
❏ I have no preference
I can meet the driver at an agreed upon location
❏ YES
❏ NO
Return form to: Kathy Harrison, District Volunteer Coordinator, harrisonk@nclack.k12.or.us,
4444 SE Lake Road, Milwaukie, OR 97222. Phone: 503.353.6019