SCHOOL DISTRICT 8

AUTHORIZATION FOR VOLUNTEER DRIVERS

TO TRANSPORT STUDENTS of

(School Name)

PARTICIPATING IN SCHOOL EVENTS

[To be kept on file at the school.]

1.This will authorize:

(name of teacher or other volunteer driver)

A.to transport students participating in multiple eventslisted on the attached school event/sporting schedule. (A new form is to be completed each school year.)

OR

B.to transport students participating in the following single school activity only:

2.Declaration regarding driver:

  • I am licensed to drive in New Brunswick and carry insurance by New Brunswick law ( $1 million PLPD).
  • I am 21 years of age or older.
  • My accumulated work and driving hours will not exceed 13 hours during this trip.
  • I have provided the school with a copy of my criminal record check.
  • I will not be under the influence of prescription or illegal drugs, alcohol or use tobacco, neither will I permit the use of same, at any time while transporting students.

3.Declaration regarding vehicle

Vehicle Information:

  • Make: Year: License #: .
  • Between the period of November 1st to April 30th, the vehicle is equipped with snow tireswith the inscribed peaked mountain with a snowflake pictograph on the tire sidewall, if transporting students.
  • The vehicle has avalid Province of New Brunswick inspection sticker.
  • I will ensure there are sufficient functioning seat belts for all passengers and ensure that all passengers wear their seatbelts at all times.

Signature Date (mm/dd/yy)

**Please Note: A form must be completed for each driver and vehicle.

Relevant Department of Education Policies:

POLICY#
214 / Indemnification of Employees, District Education Council Members, Parent School Support Committee members, Volunteers and Student Teachers
510 / Procedures for Accidents Involving a School Vehicle
512 / Extra-curricular Activity Vehicles
513 / Transportation to and from Off-Site School-Related Extra-Curricular Activities
701 / Policy for the Protection of Pupils
702 / Tobacco-Free Schools
703 / Positive Learning Environment

Volunteer Driver Form/Form Authorization for Volunteer Drivers rev 08Dec09.doc(B.Walton)