Application forHome to School Transportin the 2015/16 Academic Year

Before you complete this application form, it is strongly recommended that you read Cornwall’s Home to School Transport Policy. The document can be viewed at

School Transport is generally limited to those children attending their designated school or nearest school with a place available and when one of the following apply:

  • The school is more than two miles from the home address for primary pupils and more than three miles for secondary pupils
  • The pupil is unable to walk to school by reason of their special educational need, disability or mobility problem
  • The nature of the route is deemed by the Local Authority as being unsuitable for pedestrian use

There are additional entitlements for children from families on low income (in receipt of Free School Meals or their maximum level of Working Tax Credits). Children from low income families are eligible for free transport to one of their nearest three secondary schools within two to six miles or their nearest secondary school preferred on the grounds of religion or belief within two to fifteen miles.

Transport will occasionally be provided in other exceptional circumstances at the Local Authority's discretion.

Transport will be provided via the most cost-effective suitable method.

Transport is provided to and from school at the scheduled start and finish times Monday to Friday. Transport will not be scheduled to accommodate a child's individual timetable or extra-curricular activities.

Need Help or Advice?

If you need help completing this application or are unsure of your eligibilityfor free transport, the Pupil Transport Team will be able to advise you. The team can be contacted on 0300 1234 101 or by email at .

Section A – Child’s Details
Child’s Surname
Child’s Forename(s)
Date of Birth (dd/mm/yyyy) / /
Year Group / ReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11
Home Address
School Attending
Change of School?
Are you applying for transport as a result of your child moving school? If so, please provide full details below.
Special Education Needs
Does your child have a Statement of Special Educational Needs or an
Education, Health and Care Plan?
Statement of Special Educational NeedsEducation, Health Care Plan
Additional Needs
If your child has any mobility issues, disabilities or medical needs, please provide full details below. Supporting written evidence from a medical professional (e.g. doctor) must be submitted with your application form.
Section B - Parent/Carer Details
Surname
Forename(s)
Home Address (if different to your Child)
Telephone Number(s)
Email Address
Relationship to Child:
Section C – Your Circumstances
Low Income
Are you in receipt of Free School Meals or your maximum level of Working Tax Credit? If yes, please specify which below. If you are in receipt of the highest rate of Working Tax Credit, you mustprovide a copy of your TC602 with your application – please note that TC603R documents will not be accepted.
Free School MealsHighest Rate of Working Tax Credit
House Move
If you are applying for transport following a house move, please provide full details of the reason(s) for your move. If you have moved through a housing association, please provide contact details.
Other or Exceptional Circumstances
If you are applying fortransport due to other or exceptional circumstances notcoveredabove, please provide full details below. Attach a separate sheet if necessary. Where possible, evidence of these circumstances should be provided.
Section D – Declaration

The information on this application form is collected by Cornwall Council as data controller in accordance with the data protection principles contained within the Data Protection Act 1998. This information is collected by Cornwall Council to allow it to carry out its functions in relation to the assessment of eligibility of school transport. Your data may be shared by Cornwall Council with other Council departments (e.g. other local authorities, schools, Cornwall Council’s Democratic Services etc.) for the purpose of dealing with your application and any related matters (e.g. appeals). In addition, the information you provide in connection with your application may be used for the purposes of dealing with matters connected with or ancillary to your child’s education (e.g. school admissions, school meals, etc.) or the purpose of updating any other records (e.g. social care, health records, etc.) which either the Council or the schools hold in relation to your child. Your data may also be shared, as the law allows, for the purpose of preventing and detecting fraud.

By completing and submitting your application you give your express consent that all data submitted by you may be processed by us in accordance with the above mentioned purposes.

The information you provide in connection with your application will be retained by Cornwall Council and/or the school at which your child is placed for the duration of your child’s compulsory education. You have a right to apply for a copy of the information we hold on you or your child and to correct any inaccuracies. However, please note that this does not include details of any allegations of fraud or the details of any investigations that may have been carried out. In addition, in the event that you no longer wish us to process the information for the purpose(s) provided you may withdraw your consent at any time by giving us written notice. You should understand, however, that we may nevertheless need to continue processing your personal information in accordance with our statutory obligations to the extent permitted by law.

If you have any concerns regarding the processing of your data then please contact the Pupil Transport Team.

By signing this form I declare that the information I have provided is correct and complete and understand that if I have made a false statement or have omitted any relevant and appropriate information I may be subject to investigation and could potentially face criminal proceedings. I understand that the information I have supplied in this application may be shared, as the law allows, for the purpose of preventing and detecting fraud and that the offer of school transport may be withdrawn if my application is found to be fraudulent. I will notify the Council immediately of any change in my circumstances and understand that failure to do so or providing false or misleading information, may lead to prosecution action being taken against me and/or withdrawal of the offer of free transport.

Please sign to confirm that you have read and agree to the above.

Signature
Section E – Submission of Your Application

Please return your completed form to the Pupil Transport Team by email to or via post to Pupil Transport Team, East 0, New County Hall, Truro TR1 3AY.

Please remember to include any supporting evidence (e.g. medical, low income) with your application.