BusFundsBush

OMB Control No. 3095-00XX
Expiration date XX/XX/2021

George W. Bush Foundation
Student Transportation Fund
The George W. Bush Foundation, with generous support from CFP Foundation, has established a fund to
provide free transportation for qualifying school groups to visit the George W. Bush Presidential Library and
Museum. The goal is to make it easier for teachers and students to access the exhibits and many educational
resources offered by the Library.
Funds to reimburse the costs of transportation are currently available, on a first-come, first-served basis, to
Title I Schools in all Texas ESC Regions. Funds are limited. To apply for funds, please verify that you meet the
eligibility criteria outlined below and email or fax the following form along with your Field Trip Request Form to
the Visitor Services Coordinator at [email protected] or (214) 346-1699.

Eligibility Requirements:


The school receiving the funds must be a K-12 school located in a Texas ESC Region.



The school receiving the funds must be a Title I School for the year in which the field trip is completed.



The requesting teacher and school principal must sign the request form.



Schools may not request reimbursement for more than 4 buses per academic year. Please contact
your transportation service center and provide an actual dollar amount on the attached form.



The purpose of the trip to the Library must be educational. You will be required to document this on the
Evaluation and Request for Reimbursement.

Please note the following additional guidelines placed upon the funds:


To maximize the benefit to students, we expect each bus you bring will be full.



Funds will be used to reimburse expenses only; no advances will be given.



Funds may only be used to cover the cost of transportation; substitute teacher fees and bus driver
lunches will not be covered.



Funds may not be used to rent charter buses.



Reimbursement of funds will not exceed the estimated expense provided by the school.

Process for Reimbursement:
Funds will not be reimbursed unless the following items are submitted within one month of the date of the field
trip. All forms listed below are included in the fund confirmation packet.
o Itemized, paid receipt including the school’s name; bus fees are not to exceed the estimated amount
o Completed Evaluation and Request for Reimbursement form

OMB Control No. 3095-00XX
Expiration date XX/XX/2021

George W. Bush Presidential Library and Museum
Transportation Fund Request
School District: ____________________________

Texas ESC Region Number: ____________________

Name of School: __________________________________________________________________________________
School Address: __________________________________________________________________________________
__________________________________________________________________________________
Are you a Title I School for the school year in which the field trip will occur?

 Yes

 No

Contact Name: ___________________________________________________________________________________
Contact Number: ___________________________

Contact Email: ________________________________

Principal Name: __________________________________________________________________________________
Principal Number: __________________________

Principal Email: _______________________________

Field Trip Information:
Estimated Number of Students: _______________

Estimated Number of Chaperones: ________________

Number of Buses Requested:

Actual Bus Cost Estimate: $_____________________

1 2 3 4

Reason for Trip: __________________________________________________________________________________

Acceptance of Terms of Agreement:
 I certify that the school is a Title I school, grades K-12, for the year in which the field trip will occur.
 I understand a request does not guarantee funds and funds are available on a first-come, first-served basis.
 I understand advances will NOT be given and reimbursement will NOT exceed the estimated amount.
 I understand charter buses will NOT be reimbursed.
 To receive reimbursement, all receipts and the Evaluation and Request for Reimbursement form must be received by
the Museum no later than one month from the date of the trip.
Contact Signature: _______________________________________________________________________
Principal Signature: _______________________________________________________________________
To be considered, you MUST submit this Transportation Fund Request Form with your Field Trip Reservation
Request following the instructions on that form. If you have questions, please email [email protected].

PRIVACY ACT AND PAPERWORK REDUCTION ACT PUBLIC BURDEN STATEMENTS ON NEXT PAGE

FOR MUSEUM USE ONLY
Date of Request: __________________________
Funding Approved:

 Yes

 No

Reason for Denial: _________________________
Pending Availability of Funds:

 Yes

Received by: ______________________________

 No

Final Paperwork Received: __________________
 Receipts

 Program Evaluation

Date Notified of Approval/Denial: ______________

Final Bus Cost: ___________________________

Notified by: _______________________________

Date Submitted for Payment: _________________

OMB Control No. 3095-00XX
Expiration date XX/XX/2021

PRIVACY ACT STATEMENT
Collection of this information is authorized by 44 U.S.C 2104. The information you provide to NARA on this form will be used to manage attendance,
registration and communication for and about NARA’s learning program. This information is necessary in order to efficiently administer the program.
Completing this form is voluntary. If you do not provide this information, NARA may not be able to process your request to participate in our education
events and distance learning opportunities. In accordance with the Privacy Act, 5 U.S.C. 552a(e)(4)(D), NARA may disclose this information to:
appropriate Federal, state, local, or foreign agencies when needed for civil, criminal, or regulatory investigations or prosecution; in response to a request
from another Federal agency or Congress; to a NARA consultant, agent, or contractor to the extent necessary for them to assist NARA in the
performance of its duties; or in accordance with any other “routine uses of records” listed in the Privacy Act System of Records Notice NARA 5,
“Conference, workshop, and training course files.”
PAPERWORK REDUCTION ACT PUBLIC BURDEN STATEMENT
You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid
OMB control number. Public burden reporting for this collection of information is estimated to be less than 10 minutes per response. Send comments
regarding the burden estimate or any other aspect of the collection of information, including suggestions for reducing this burden, to National Archives
and Records Administration (MP), 8601 Adelphi Rd, College Park, MD 20740-6001. DO NOT SEND COMPLETED FORMS TO THIS ADDRESS.