Wufoo

JUMP Bus Request Form

Attention all unapproved drivers: all drivers must be 21yrs of age and will need to submit their license number, R-Card, and DOB when reserving the bus for license verification (conducted by Rollins College Human Resources and Risk Management). All drivers will engage in a one-time mandatory training with Office of Community Engagement staff before driving the bus. Please contact Yadira Elrod, extension 1250, with any additional questions.

Please review the JUMP Bus guidelines as found on the OCE website.

Driver Name: * First Last
Has the driver completed the JUMP Bus training? *
Yes No
ONLY if the driver has not completed the JUMP Bus trainting, please also fill out the driver's information:

Driver's R-Card Number:
Driver's DOB: MM / DD / YYYY
Course/Group Name: *
Name of Project Site: *
Project Site Address: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please share information about your project (including intended learning goals and outcomes for the engagement): *
Maximum Allowed: 200 characters. Currently Used: 0 characters.
If you are reserving the JUMP Bus for a non-community engagement activity, please check the box below to acknowledge that you are responsible for the JUMP Bus' gas while you have it reserved. CHECK BOX ONLY IF APPLICABLE:
I acknowledge that I am reserving the JUMP Bus for a non-community engagement activity and that I am responsible for the bus' fuel.
Do Not Fill This Out