Scholarship Test Scholarship Application 2023 Please fill out each item in this form. Only applications that are fully completed will be accepted.Name* First Last Phone*Email* Name of High School* School Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code School Counselor Name* First Last School Counselor Phone Number*School Counselor Email Address* Where do you plan to attend college?* Proposed field of study* How did you find out about this scholarship?* Guidance Counselor/Your High School Don’t mess with Texas Website Social Media Scholarship applicants must be current residents of Texas. Employees and their immediate families (spouses, parents, siblings, children, and each of their respective spouses or people living in same household of each) of the Texas Department of Transportation (TxDOT), Keep Texas Beautiful (KTB), GDC Marketing & Ideation (GDC) and other sponsors are not eligible to participate. By submitting the application and supporting documentation, you acknowledge and understand that the work will become the property of TxDOT/KTB upon submission. Furthermore, you grant permission to TxDOT/KTB to use the application and supporting documentation for any purpose associated with the Don’t mess with Texas anti-litter campaign. No obligation or liability is assumed by TxDOT in connection with any scholarship. Don’t mess with Texas® is a registered service mark and trademark owned by the Texas Department of Transportation.Scholarship Responses For over 35 years, Don’t mess with Texas has reminded people to keep litter off Texas roads. Litter is defined as trash that is left on the ground in a public place or on a roadway rather than in a trash receptacle. The most commonly littered items are wrappers, packaging, cans, and cigarette butts. These trash items create an unsightly mess that is costly to clean up. Please answer the following short answer questions in 50-100 words each. ANSWER CONSIDERATIONS Describe how you personally made a difference to reduce litter in your community. Tell us what inspired you. Explain how your project made a sustainable impact and how it can grow in the future. Highlight the ideas that make your project unique. If your project involves recycling, be sure to show how your efforts reduce trash and litter.Describe how your actions support the Don’t mess with Texas litter prevention and beautification initiative.*How did you identify a specific litter-related problem in your school or community?*What creative and/or sustainable solution did you develop to address the problem of trash? What motivated you?*How did you motivate others not to litter?*Please list the statistics and measurable results that show the overall impact of your effort. Include specifics such as number of hours, number of people or volunteers, amount of space or amount of trash collected.*Please attach artifacts such as photos, drawings, or graphics that illustrate the efforts of your projects. (Up to three)* Drop files here or Select files Max. file size: 50 MB, Max. files: 3. Winners may be asked to participate in a brief video interview describing their litter prevention project.CERTIFICATION In submitting this application, I certify that the information provided is complete and accurate to the best of my knowledge. I give permission for my school counselor to be contacted as a reference if I am a finalist. For verification purposes, please include the names and phone numbers of at least two adult references (over the age of 18) who helped you and were a part of the efforts you described in the response section of your application.Name of Adult #1* First Last Relation of Adult #1* Phone Number for Adult #1*Email Number for Adult #1 Name of Adult #2* First Last Relation of Adult #2* Phone Number for Adult #2*Email Number for Adult #2 Applicant Signature First Last Date of Application MM slash DD slash YYYY