Transportation Assistance Request

Student must demonstrate financial need for Transportation Assistance

Up to $150 per semester for students traveling from Nogales, Rio Rico, Sahuarita, Ajo and San Manuel.

Gas cards in smaller denomination may be available upon request for students from other districts.

Student's Name*
First Last
Student's Home High School*
School District*
JTED Program*
JTED Program Location*
Student has identified financial need*
- Counselor Verified Financial Need
List amount requested (not to exceed $150 per semester)*
Form completed by*
- Counselor
- CTE Director
Name of Counselor/CTE Director*
First Last
Counselor/CTE Director Email*
Counselor/CTE Director Phone*
Attestation*
- I agree to provide the Foundation a student signed statement verifying receipt of transportation assistance.