PUGET SOUND DRIVER TRAINER ASSOCIATION Driver Instructor Training Course Scholarship Application 2018

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To All Prospective Scholarship Award Applicants; Puget Sound Driver Trainer Association (PSDTA) is awarding a $2000 Scholarship with two parts: 1. $1,130 paid directly to Driver Instructor Training Course (DITC) for tuition. 2. $870 for general travel/logging expenses. The Association knows this amount does not pay for all needs during the two-week session. It is intended to be assistance to an energetic, passionate and focused School Bus Driver, offering an opportunity to further their Transportation Career. To qualify for the Scholarship the recipient may not obtain tuition assistance from any other source, such as the winner s school district or any other available Scholarships. It is permissible to have assistance for food, lodging, and travel from other sources. However, the total assistance may not exceed the amount of expenses. The awardee may be requested to disclose all other sources of external assistance. This does not include personal loans or gifts from friends and family. The PSDTA Scholarship Award for DITC is intended for qualified applicants that need assistance to complete the course. Need is defined as a person, who by nature of finance or other personal reasons, does not have the means or opportunity of attending the DITC, held in July of 2018. COURSE REQUIREMENTS Please answer each question completely. Name of Applicant: If you answered no to number 1 or 2 of the course requirement questions, please contact your Regional Transportation Coordinator before proceeding with your application. 1- Do you currently meet all the authorization requirements Yes Yes No No listed in WAC 392-144-102 for a School Bus Driver? I have re-read and confirm that I meet the requirements of WAC 392-144-102? (see attached WAC 392-144-102) 2- Have you been authorized as a school bus driver in WA State Yes No at least two years? # of years authorized? 3- Have you had any at-fault or preventable collisions in a Yes No school bus or personal vehicle in the past 2 years? 4- Are you receiving or eligible to receive Tuition Assistance from Yes No any other source? Documentation will be required upon registration in DITC. X Applicant Signature Page 1 of 6

WAC 392 144 102 Continuing requirements for authorized school bus drivers. Every authorized school bus driver must continue to meet the following requirements: (1) Have a valid driver's license or commercial driver's license, as required by law, issued by the state department of licensing. (2) Satisfactorily complete the annual school bus driver in service training course. (3) Maintain current and valid training in a first aid course accepted by the local school district. (4) Submit annually to the school district a disclosure of all crimes against children or other persons and all civil adjudications in a dependency action or in a domestic relation action and all disciplinary board final decisions of sexual abuse or exploitation or physical abuse as required by RCW 43.43.834(2) and disclosure of all convictions which may be grounds for denial, suspension, or revocation of authorization under WAC 392 144 103. (5) Every authorized school bus driver must continue to meet the following physical requirements: (a) Is physically able to maneuver and control a school bus under all driving conditions; and (b) Is physically able to use all controls and equipment found on state minimum specified school buses; and (c) Is physically able to perform daily routine school bus vehicle safety inspections; and (d) Has sufficient strength and agility to move about in a school bus as required to provide assistance to students in evacuating the bus. The driver must be able to move from a seated position in a sixty five passenger school bus, or the largest school bus the driver will be operating, to the emergency door, open the emergency door, and exit the bus through the emergency door, all within twenty five seconds. A school district may develop and implement an alternative assessment of physical strength and agility. The alternate assessment must be submitted by the school district superintendent for review and approval by the superintendent; and (e) Provide a copy of a current and valid medical examiner's certificate to their employer. The Tuition Scholarship will be paid directly to the Office of ESD 112 by the Association. E-mail the completed application to: tim.lash@kent.k12.wa.us Or Postal Mail to: Tim Lash Kent School District Transportation Office 25403 104 th Ave SE Kent, WA 98030 Applications are due by February 15, 2018. If you have questions please ask your district driver trainer. Page 2 of 6

Requirements for Application: Who may apply? Those currently employed in the pupil transportation industry within ESD 121 may apply. Applicant must be eligible to register for the Driver Instructor Training Course and meet all requirements including: o Class A or B, Commercial Driver s License with P1 & S Endorsements, with Air Brake Restriction removed. o Meet all minimum requirements in WAC 392-144. o Not receiving tuition assistance from any other sources. What does the Scholarship consist of? The total cost of tuition for the Driver Instructor Training Course 2018: $1,130.00 (course only) Additional funds to cover a portion of your travel/lodging/food expenses: $870.00 PSDTA DITC 2018 Total Scholarship: $2,000.00 **You will NOT be considered for this Scholarship if your district is paying for your tuition, or if you qualify for reimbursement from your school district or union** If receiving financial assistance, please specify its use. How can I be considered for a Scholarship? 1. Submit a completed Scholarship Application. (You may add up to one additional page.) 2. Submit three completed reference forms, one from your current employer. Who decides the Scholarship recipient? The Puget Sound Driver Trainer Association Scholarship Committee will award the Scholarship to one recipient. Is there an expiration for this Scholarship? Yes, the Scholarship Tuition is valid for the current year, 2018, Driver Instructor Training Course only, and is to be paid to ESD 112. Page 3 of 6

Is there a deadline for Scholarship applications? Yes, postmarked no later than: February 15 th, 2018 Submit your application to: Email: tim.lash@kent.k12.wa.us or Postal Mail to: Tim Lash Kent School District Transportation 25403 104 th Ave SE Kent, WA 98030 **Late applications will NOT be accepted** Page 4 of 6

About You Applicant Name: Mailing Address: City: Zip: Email: Phone # ( ) Current Employer: Employer mailing address: Immediate Supervisor: Phone # ( ) Your job title, description and responsibilities: Previous School Districts or other Transportation experience, with employment dates: Please describe your short and long-term career goals: Explain what positive contributions you will make to the Driver Trainers position, locally, regionally and to the State of Washington: Please list awards, achievements and recognition you have received: What makes you the candidate that should be awarded the Scholarship: Page 5 of 6

Personal Reference I would like to recommend for the Puget Sound Driver Trainer Association, Driver Instructor Training Course Scholarship by responding to the following questions: How long have you known the candidate and in what capacity (friend, employer, etc.)? What are some of the candidate s strengths and/or accomplishments (work, school, community, etc.)? What qualities does this candidate possess as a potential driver trainer instructor? Your Name: Date: Telephone Number: ( ) Email Address: Page 6 of 6