Bushnell-Prairie City ​Community Unit School District #170
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B-PC CUSD #170
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B-PC Forms


Forms specific to school building are labeled as such.
Medical & Emergency​
  • Dental Examination - Elem/JH
  • Emergency Information Form - Elem/JH/HS
  • Eye Examination - Elem/JH/HS
  • Health History & Food Allergy Form - Elem/JH/HS
  • Medical Authorization - Elem/JH/HS
  • Physical Examination - Elem/JH/HS
  • School Physical Form - Kindergarten, 6th, and 9th
  • Immunization Requirements for School Aged Children
  • Information Regarding Communicable Diseases from the IDPH
  • Student Medication Authorization Form
Attendance, Absences, & Permissions
  • Early Release Wednesday After School Supervision Permission Form
  • Prearranged Absence Request - Elem/JH/HS
  • Adult Student Attendance Policy - HS
  • After Prom Consent Form 2017 - HS
  • College or Military Visit - HS
Athletic
  • Sports Physical Form
  • Athletic/Event Release - JH/HS
  • Athletic Handbook Forms - JH/HS
  • IHSA Medical Forms
  • IESA Concussion Sign-off
Other
  • Parent/Student Handbook Sign-Off Form
  • Student Information Sheet - Elem
  • Volunteer Waiver - Elem
  • Application for Free/Reduced Lunch  - Elem
  • Application for Free/Reduced Lunch - JH/HS
  • Transcript Request - HS
  • Facilities Usage Form
    Facilities usage is dependent upon availability; please complete both sides of the form; attach proof of insurance; and return to the school building principal for approval. Currently, no fees are being charged.

Bushnell-Prairie City CUSD #170

845 North Walnut Street
Bushnell, IL 61422
(309) 772-9461 | (309) 772-9462 ​(Fax)
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COPYRIGHT©  2021 - Bushnell-Prairie City CUSD #170 | Privacy Policy | FOIA | Title IX
  • Home
  • District
    • Board of Education >
      • Agenda
      • Board Calendar
      • Board Policy Manual
      • Documents
      • Meeting Minutes
      • Vision 20/20
    • Contact
    • District Calendar
    • District Directory
    • District News
    • Employment
    • FAQs
    • Forms
    • Parent-Student Handbook
    • Superintendent
  • Schools
    • Bushnell-Prairie City Elementary School
    • Bushnell-Prairie City Junior High School
    • Bushnell-Prairie City High School
    • Contact
  • Teaching & Learning
    • Remote Learning Resources
    • Fine Arts
    • Graduation Requirements
    • High School Course Handbook
    • Library
    • School Report Cards
    • Technology
  • Extra Curricular
    • Athletics Calendar
    • Athletics Handbooks
    • Forms
    • High School Athletics
    • Junior High Athletics
  • Student Resources
    • Remote Learning Resources
    • Library
    • Menus
    • Skyward®
    • Social Work
    • Spartan Pride
    • Tech Troubleshooting
  • Family Resources
    • Forms
    • Library
    • Menus
    • Remote Learning Resources
    • Skyward®
    • Stay Connected
    • Student Health Information
    • Transportation
  • Staff Resources
    • STAFF Health Self-Certification
    • Remote Teaching Resources
    • Professional Development
    • Skyward®