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You are here: Homepage > Bus > School and College Transport > Travel Assistance (Post 16) > Application Form

Travel Assistance Application Form for Students Aged 16 - 19


Nationality:*
First Name(s) (in full):*
Surname:*
Gender*
Section 1
Permanent home address:*	.
Postcode:*
Section 2
Date of Birth: (dd/mm/yy)*
Tel No.*
Fax No.
E-mail:*
Section 3
If you have lived at this address for less than three years please give details of previous addresses during this period:
Date of move(s):
Name of School/College you will be attending (and address if outside Worcestershire)*	.
Full Title of Course (as detailed in school/college prospectus)*
Main Subjects:*	.
How many hours per week will you study?*
Duration of Course (yrs)*
Year of attendance*	1st 2nd 3rd
When does the course start? (dd/mm/yy)*
Section 4
Details of Education before 16 years of age
School attended:
Details of Education after the age of 16 (if any previous course studied)
School/College attended:
Title of Course:
From: (dd/mm/yy)
To: (dd/mm/yy)
Section 5
Do you have any details of how the journey will be made?
Other:
Region
PLEASE NOTE THAT THE PASSENGER TRANSPORT GROUP WILL DECIDE UPON THE FORM OF ASSISTANCE PROVIDED
(Home) Boarding Point:
Via
(School) Alighting Point:
Please indicate required journeys	AM Journey Only PM Journey Only Both
Other:
Section 6 CERTIFICATION BY PARENT/GUARDIAN
I declare that I have read and understand the information supplied with this application form and agree to the conditions. I have completed this form as accurately as I can and I will ensure that I notify the County Council of any changes to these details in the future.
Please Confirm*	I agree
Title:
Full Name:
Relationship to pupil:
Date: (dd//mm/yy)
Additional Information:	.

In this section

Forms

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Bus services charter (72 KB)
Concessionary Pass Journeys Before 9:30 (29 KB)
Secondary School bus services October 2011 (6 KB)

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External websites

Bus Users UK
(...giving bus passengers a voice)
National Express
(National Express coach bus & Train tickets)
PlusBus
(Cut the cost of your journeys to and from the train station)
Transport Direct
(Live travel news, journey planning, train times and more)
Traveline
(Local public transport information)

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This page was last reviewed 27 July 2011 at 14:28.
The page is next due for review 22 January 2013.

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