Section 1: Applicant Information
1. School Corporation Name:
2. Street Address: City: Zip:
3. Name of Organization contact: ______
Address: ______
Phone number: ______Email: ______
4. Project contact: ______
Address: ______
Phone number: ______Email: ______
Section 2: Budget Sheet and Vehicle Models
Fill out the following chart with the propane bus information and the information on the bus that you would buy if you do not buy the propane bus. If you would normally buy a diesel bus, use the diesel bus information. If you would normally buy a gasoline bus, use the gasoline bus information.
Bus 1
Bus 2
Bus 3
Bus 4
Bus 5
Bus 6
Bus 7
Bus 8
Bus 9
Bus 10
Bus 11
TOTAL
1. Total Cost of New Buses: ______
2. Total Incremental Cost: ______
3. Total Grant Request: ______
4. Percent of incremental cost requested: ______
Section 3: Miles Driven and Diesel or Gasoline Fuel Displacement
The following chart will show how many gallons of diesel or gasoline will be displaced annually by purchasing a new propane bus instead of a new diesel or gasoline bus. For example, for the Bus 1 propane bus that is listed in Section 2, list its equivalent diesel or gasoline bus in section 3.
Make/model of the Equivalent Diesel or Gasoline Bus / State whether it's Diesel or Gasoline / Estimated Miles Driven Annually / Miles per Gallon of the Diesel or Gasoline Bus / Gasoline or Diesel Gallons Displaced Annually (divide miles driven by miles per gallon)Bus 1
Bus 2
Bus 3
Bus 4
Bus 5
Bus 6
Bus 7
Bus 8
Bus 9
Bus 10
Bus 11
TOTAL
Section 4: Project Need
Describe your school corporation’s need for this project and how the project will impact the school corporation:
Section 5: Education
Describe your plan to educate your community and other school corporations about your experience with propane school buses:
Section 6: Application Package Submittal
Email the following to by October 16, 5:00 PM Eastern Time:
1. This application form
2. Bids on the new propane school buses, as well as bids on an equivalent diesel or gasoline bus. The latter is used to show the cost differential between a propane bus and a diesel or gasoline powered bus. The bids must show the bus specifications, price, and vendor contact information.
3. Proof that the engine of the new school propane school bus is EPA certified
4. Proof that the propane system is installed according to NFPA 58 guidelines
5. Proof that the applicant will have access to fueling propaneinfrastructure after receiving this grant. Some propane dealers will provide the infrastructure components through a lease as part of a long-term fuel agreement.