Always Wear Your Seatbelt

Scholarship Application

Criteria: Member of AWYS Ambassador club, graduating senior, going on to college, university, or trade/technical school, U.S. citizen.  2024 applications will be accepted 12/15/23 – 4/15/24.

Please complete the form below and submit it to Always Wear Your Seatbelt.

MM slash DD slash YYYY

Your Information

MM slash DD slash YYYY
MM slash DD slash YYYY
Member of AWYS Club?(Required)

Script Submission

Create a 1–3-minute Public Service Announcement with the goal of impacting your peers so they will ALWAYS wear their seatbelt. We are looking for creativity!

Examples of information to include: Humor, statistics, public figures as representatives, victim impact stories, personal stories (with permission).

Submissions may be a written document, script (example: characters, setting, and messaging ), and/or include graphics or video. Be sure to include your name and high school on all elements.

PROVIDE an accessible and active link to your PSA.
Accepted file types: doc, docx, Max. file size: 300 MB.
Provide a link to your script or add any notes here.



Write one 500-word essay which responds to both questions below: Write or copy/paste into application form.

  1. Why seatbelt use is important to you?
  2. How you have participated in raising seatbelt safety awareness on your campus and your community?
This field is for validation purposes and should be left unchanged.