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. > 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