Survey graphic with Family Learning Intent Form and Bus Application

Family Intent/Bus Application Form

Survey graphic with Family Learning Intent Form and Bus Application

Family Learning Intent/Bus Application Form:

Please help us plan for the possibility of offering an in-person learning option by completing this Family Learning Intent/Bus Application form. Learn more about the proposed plans here. Please complete this form by Monday, November 16 at 9am.

Start Form (English)

Spanish – español | Arabic –  عربى | Dari -از جانب  | Pashto – پښتو  | Swahili – Kiswahili  


Need help?

Contact your school. They can give you paper forms or help you complete the form.

Need a Paper Form?

It is very helpful to us if you could complete this form on your phone or computer using the above links. However, if you need a paper form, you can get one starting Thursday, November 5 at any school or Charlottesville City Schools food distribution site. For priority consideration for place on the bus, please return no later than Monday, November 16 at 9am.

HOW TO RETURN FORM:

  • Choice 1 (preferred): complete this form online (charlottesvilleschools.org/survey).
  • Choice 2: bring the form to one of our food delivery buses or sites or schools.
  • Choice 3: text a clear picture of the form to 434-953-1802.
  • Choice 4: mail this printed form to a Charlottesville school or to 1562 Dairy Road (22903).