Transport Entitlement Zone Alteration Application Form

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Transport Entitlement Zone Alteration Request Form
Process Checklist
This checklist describes the approach that should be used for Board of Trustees-initiated and Local Office-initiated school
Transport Entitlement Zone (TEZ) alteration requests. For requests initiated by local offices, use the form to complete only
the relevant information.
Please take the time to read and complete the tasks below
Contact the local Service Agent to determine the existing TEZ boundaries. Schools initiating requests should
contact their Service Agent and Ministry Local Office.
Identify which criteria will be used to support this request.
Make contact with all schools affected by the proposed alteration and advise them that you have commenced the
process of requesting a TEZ alteration. Advise them that the process is quite rigorous and that no eventual
change may be made.
If a school raises any serious objections, you should consider whether or not to continue the process as eventual
approval is unlikely from a school in strong opposition to an alteration – unless there are strong network reasons
for proceeding.
Collect information from the local Service Agent for your area, and from Territorial Authorities (TAs), NZ Police,
and transport service providers, as required – the Service Agent may be able to help you to gather this evidence.
Contact the Ministry’s School Transport Team (school.transport@minedu.govt.nz) if you are unsure as to what
level of information is required for this particular request.
Ensure the initiating school(s) has supplied all the information necessary to populate the fields on the alteration
request form – make sure to fill out the form electronically.
Provide copies of this form to the affected school/s and allow sufficient lead time for the Board of Trustees of each
school to develop its response.
If all the affected schools’ Boards of Trustees are in agreement, have the schools sign page two of this form.
Have the Service Agent sign the form also.
Add your signature to the form, have the application signed by your local Service Agent and Regional Manager,
attach letters of support and other documentation, and forward it to the Ministry’s National Office for determination.
Send either a scanned copy of the completed request form to school.transport@minedu.govt.nz, or a hard-copy to
School Transport EIS, Ministry of Education, PO Box 1666, Wellington 6011.
Each request will be considered based on the information provided in the following form. Upon determination, copies of
this document will be sent with a covering note to each school, the originating Local Office, and the Ministry’s Service
Agent for their records. The original signed copy of the document will be retained at National Office as the official record.
Transport Entitlement Zone (TEZ) Alteration Request Form October 2014
Page 1 of 5
Community and Route Information
Fill out this form electronically - delete the italicised comments and replace them with your own where necessary.
1. Community Name:
This is the name of the road, neighbourhood, or town where the affected students live
Request initiated by:
2. School Information
Schools Affected
Local Office Involved and Contact Person
Are all of the students in the community affected by the proposed change attending one school?
YES
NO
If yes, which school?
NB: Sections 3 and 4 below are not locked down to enable you to create more boxes for multiple routes or TEZs as needed.
3. Current Route Details Copy and paste the rows below if there is more than one route currently servicing the community in question
Route Number:
Description: Describe the road route taken from the relevant school to the community
>
Distance:
Travel Time:
4. Possible Changed TEZ Route Details Service Agents should be consulted on the possibility of any new routes arising from an altered
TEZ
Route Name:
Description: Describe the potential route taken from the relevant school to the community
>
Distance:
Transport Entitlement Zone (TEZ) Alteration Request Form October 2014
Estimated Travel Time:
Page 2 of 5
Supporting Evidence
Please enter comments to support the request for an alteration, and tick each box to indicate the level of agreement for
the proposed alteration. Each party indicated must be consulted before the request can be considered.
5. Criteria for alteration (check as many as apply and fill in related fields to support the criteria in fields 6 - 9)
Topography – mountainous terrain
Topography – river crossings
Road Danger
Travel Time
Network Management
Other
6. Topography
Describe how the topography of the area suggests that it would be sensible for the TEZ in question to be altered.
>
TA agrees
Transport Service Provider
agrees
Service Agent agrees
7. Road Danger
Describe how the road danger of this area suggests that it would be sensible for the TEZ to be altered.
>
TA consulted and in agreement
NZ Police agree
Transport Service Provider agrees
Service Agent agrees
8. Travel Time
Describe how an alteration to the current TEZ would impact upon travel time.
>
Transport Service Provider agrees
Service Agent agrees
9. Network Management
Describe how repositioning students within the altered TEZ supports good management of the network of schools in the area.
>
Schools which agree
Schools which do not agree
10. Other
Describe any other reasons you believe that the TEZ should be altered.
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Transport Service Provider agrees
Transport Entitlement Zone (TEZ) Alteration Request Form October 2014
Service Agent agrees
Page 3 of 5
Implications
Please comment on the implications of the proposed TEZ alteration.
11. Caregivers
Describe what the overall impact of the proposed TEZ alteration will be on affected caregivers.
>
12. School Communities
Describe what the overall impact of the proposed TEZ alteration will have on the affected school communities..
>
13. TEZ Description
Please provide a description of the extent of the proposed TEZ. Include maps if available.
>
Local Office Comment and Recommendation
Please provide any other relevant comments below about the alteration of the TEZ(s) in question, including whether the
proposed alteration is/is not supported. Please take into account property and staffing implications if they have not
already been covered.
>
Service Agent Comments and Recommendation
Please provide comment on the school transport implications of the proposed TEZ alteration, including whether the
proposed alteration is/is not supported. Please take into account travel times, additional transport costs or savings, and
whether bus routes or conveyance allowances will be provided, if these implications have not already been covered. Also
consider whether or not bus routes can be effectively designed given the proposed TEZ boundary, and any other relevant
issues not already covered.
>
Please attach a map of the current TEZs and the proposed changes for all year levels within
affected schools.
Transport Entitlement Zone (TEZ) Alteration Request Form October 2014
Page 4 of 5
Agreement
Before a request can be considered by National Office, all affected schools must be given the opportunity to comment on
any proposed change. If this alteration involves a change to more than two schools’ TEZs, please add signature blocks as
necessary.
Ministry Local Office Facilitator
I recommend that the permanent alteration to the TEZ boundary outlined in this request be [approved / declined].
Signed:
________________________
Date:
________________
Name:
________________________
Position: ________________
Ministry Regional Office Manager
I have consulted with the various parties and [agree / do not agree]that a permanent alteration to the TEZ boundaries
will result in more effective provision of education and/or more effective provision of school transport in this area.
Signed:
________________________
Date:
________________
Name:
________________________
Position: ________________
School: enter school name here
We [agree / do not agree] to a permanent alteration to the TEZ boundaries.
Signed:
________________________
Date:
________________
Name:
________________________
Position: Principal
Signed:
________________________
Date:
Name:
________________________
Position: Board of Trustees Chair
________________
School: enter school name here
We [agree / do not agree] to a permanent alteration to the TEZ boundaries.
Signed:
________________________
Date:
________________
Name:
________________________
Position: Principal
Signed:
________________________
Date:
Name:
________________________
Position: Board of Trustees Chair
________________
Ministry’s Service Agent
I have consulted with the various parties and [agree / do not agree] that a permanent alteration to the TEZ boundaries
will result in more effective provision of school transport in this area. I verify / do not verify that school transport
assistance can be provided appropriately within this TEZ.
Signed:
________________________
Date:
Name:
________________________
[School Support Ltd / Cognition Transport] (delete as required)
Transport Entitlement Zone (TEZ) Alteration Request Form October 2014
________________
Page 5 of 5
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