Applications must be post marked no later than May 25, The scholarship winner will be announced prior to June 20, 2018.

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SOUTHEASTERN STATES PUPIL TRANSPORTATION CONFERENCE 2018 BUSTER BYNUM EDUCATION SCHOLARSHIP The Southeastern States Pupil Transportation Conference (SESPTC), comprised of fourteen member states (Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia) will announce the 2017 Buster Bynum Education Scholarship at the SESPTC in North Carolina in addition to each local state announcing the winners. Named in honor of R. A. Buster Bynum, retired Director of the Virginia Department of Education s pupil transportation office and former SESPTC treasurer, this one-time $2,500 education scholarship is made available to one deserving public school student in each of the fourteen-member southeastern states. Qualifications 1. The parent/guardian listed on application had a Gross Taxable Family Income equal to or less than $80,000 for each of the Past Three Tax Years. (For the purpose of this scholarship award, the Past Three Tax Years is defined as the 2015, 2016 and 2017 tax years.) 2. The parent/guardian listed on application has been an active employee in public school transportation during the Past Three Years. This includes school bus drivers, aides, monitors, mechanics, parts clerks, foremen, managers, trainers, supervisors, directors, and inspectors that work in public education. (For the purpose of this scholarship award, the Past Three Years work history requirement is defined as the period since January 1, 2015.) 3. The student applicant has at least a 3.0 (B) scholastic average, will graduate from a public high school, and will attend a post-secondary educational institution starting in 2018. 4. The scholarship cannot be awarded to any student who has a family member serving on the selection committee. Applications must be post marked no later than May 25, 2018. The scholarship winner will be announced prior to June 20, 2018. Page 1 of 6

Southeastern States Pupil Transportation Conference (SESPTC) Buster Bynum Education Scholarship Application (Application must be typed) SECTION I APPLICANT PERSONAL INFORMATION The parent/guardian on behalf of his or her child must submit the application. Parent/Guardian Name: (Must have been a school transportation employee since January 1, 2015.) Parent/Guardian s Address: Street City State Zip Parent/Guardian s Phone Number: ( ) - Name of the Organization Employing the Parent/Guardian: _ Employer Organization s Contact Person: Employer Contact Person s Phone Number: ( ) - Name of Student: Name of School from which the student will graduate in 2018: Address of School: Street City State Zip I certify, as parent/guardian of that the combined family income of both parents/guardians did not exceed $80,000 for each of the past 3 years beginning with 2015. Parent/Guardian Signature Date Page 2 of 6

Selection Criteria Selection of applicants will be based on the following criteria: Scholarship (25 points) - The student shall have a cumulative grade point average (grades 9 11) of 3.0 (B) minimum, as verified by official high school academic records. Leadership (15 points) - The student shall have demonstrated outstanding leadership skills and abilities in co-curricular activities and community service activities. Citizenship/Service (25 points) The student shall have demonstrated exemplary citizenship qualities that include not only maturity, loyalty, responsibility, integrity, and trustworthiness; but also a concern for the well-being of all citizens and shall have rendered unselfish service and assistance to others, to the school, and to the community. Essay (35 points) - The student shall have explained in a typewritten essay of not more than 500 words why he/she applied for the scholarship and how the scholarship will be used. SECTION II SCHOLARSHIP: EDUCATIONAL DATA (PLEASE ENCLOSE TRANSCRIPT) School now attending: Class Rank: In class of: (Number) CEEB/SAT/ACT Test: GPA: (Score) College(s) / Vocational Technical School(s) to which you seek admission. 1. Accepted? Yes No 2. Accepted? Yes No 3. Accepted? Yes No List any part-time or full-time work experience. Page 3 of 6

SECTION III LEADERSHIP/INVOLVEMENT/LEADERSHIP AND SERVICE List all co-curricular activities in which you have participated, including honors and awards. List athletics in which you have participated in. List community service activities or projects in which you have participated. List any special interests or hobbies. Why do you desire to continue your education? Page 4 of 6

SECTION IV ESSAY Using the space provided below, please describe why you have applied for the scholarship and how you would use the scholarship. Essay must be typed in 500 words or less. Applicants should proofread their essays for grammar, spelling and syntax. SECTION V REFERENCES/CERTIFICATIONS 1. Please provide a letter from the parent/guardian s employer verifying employment in public school transportation since January 1, 2015, and documenting financial need (Gross Taxable Family Income equal to or less than $80,000 for each of the past three tax years). 2. Please provide a letter from the student s high school guidance counselor or other authorized high school official verifying the student s grade point average, anticipated graduation from high school and planned attendance at a postsecondary educational institution in the fall of 2018. 3. Please provide a letter of support from one school staff member and one adult family acquaintance of the student, stating why the award should be made to this student. SECTION VI SUBMISSION CHECKLIST Please check to make sure you have submitted all documentation below: Completed Application Form, Signed 500 Word (Maximum) Essay included in this application Official High School Transcript Letters for each: Verified Parent/Guardian transportation employment since January 1, 2015 High School Counselor/authorized high school official statement of student s grade point average, anticipated graduation, planned attendance at a postsecondary education institution in the fall of 2018 Support letter from two adults teachers and adult family acquaintances of the student Page 5 of 6

PLEASE CHECK THE APPLICATION FOR COMPLETENESS BEFORE SIGNING BELOW. APPLICATION MUST BE SUBMITTED NO LATER THAN MAY 25, 2018. Date of Application Signature of Applicant Signature of School Official Signature of Parent/Guardian Title of School Official LOCAL APPLICANT CERTIFICATION TO STATE SCHOLARSHIP SELECTION COMMITTEE Print Name: (Local Director of Transportation) Signature: School System: Telephone: MAIL COMPLETED APPLICATIONS TO: Christie Hebert, Training Specialist Texas Department of Public Safety School Bus Transportation Program Box 4087 Austin, TX 78773-0525 512-424-7396 Page 6 of 6