Scholarship Nomination Form | 1 Dear Miami Community, The 1809 LGBT Alumni was formed to provide a professional and educational network of lesbian, gay, bisexual, trans, and allied alumni as well as foster support for LGBT students currently attending Miami University. As part of our efforts to build a legacy of Miami Pride, each year we award scholarships to Miami students. We would like to invite you to nominate yourself or another deserving student for this opportunity. To be eligible, students must be enrolled at a Miami University campus (Oxford, Hamilton, Middletown, or Luxembourg) during the 2015-2016 academic year. Students must have a cumulative GPA of greater than 2.5. Nominations are sought for persons of diverse backgrounds. Each recipient will have $500 awarded in fall and $500 in spring, which may be applied towards tuition, books, or fees. It is reported to the Financial Aid office as a scholarship. The 1809 LGBT Alumni Board is responsible for reading and evaluating nominations, in cooperation with GLBTQ Services and the Office of Student Financial Assistance. We will be considering evidence of serving, leading, and working for change in the LGBT community on campus or off campus. We will also be looking at financial need and academic aspirations. Successful applicants will be notified by email on May 9th, and we will celebrate the recipients at our annual Lavender Graduation ceremony on May 10, 2015. Members of the 1809 LGBT Alumni Board will meet with each of the scholarship recipients at least once during each semester of the 2015-2016 academic year. The meeting will include an opportunity for recipients to share with the board representative(s) the concrete things (at least two) that have been done to continue the legacy of the scholarship donor. The board encourages each recipient to remain in contact with board members in a mentor/mentee relationship in person or virtually throughout the year. To nominate yourself or another student for a scholarship, please fill out the form below and answer the questions on the next page. If you choose to nominate someone else for an award, please inform him/her/ze. Those nominated by others are strongly encouraged to submit their own nomination form. Please email the form as a single PDF or Word document to the 1809 LGBT Alumni Board at [email protected]. The completed form must be received electronically by May 1, 2015. We look forward to hearing from you. Sincerely, 1809 LGBT Alumni Board 1809 LGBT Alumni | a legacy of Miami Pride | www.1809LGBTalumni.org Scholarship Nomination Form | 2 About Our Scholarships Grote & Neal LGBT Miami Merger Scholarship Tom Grote (1986) and Rick Neal (1988) did not meet at Miami. During their time at Miami, Tom was closeted, while Rick was not. Tom was a Theta Chi and played rugby, while Rick was in the theater. After Miami, Tom spent two decades working in the family business. Rick spent twenty years overseas in the Peace Corps and working with international health organizations. Tom and Rick finally met in Washington, D.C. in 2006, where they discovered their shared history with and love of Miami. Today, Tom and Rick are married and have two children. In 2010, Tom was appointed the first openly LGBT member of the Miami University Board of Trustees. By endowing this scholarship, Tom and Rick hope to enhance opportunities for other LGBT individuals to reach for all of the possibilities life has to offer and to not let anything stand in their way. Michael R. Burkhart LGBT Leader Scholarship While a student at Miami University, Michael R. Burkhart, Class of 1993, held various leadership positions with the lesbian, gay, bisexual and transgender (LGBT) student organization and sought to further acceptance of LGBT students within the broader university community. Michael chose to live his student life openly as a proud gay man and used whatever opportunities arose to educate other students, faculty and staff about LGBT concerns. This was accomplished through his visibility and by challenging misperceptions about the LGBT community. Michael has continued his efforts toward a fully inclusive Miami University community through his work on the board of the 1809 LGBT Alumni Association. Michael believes his time at Miami University provided a valuable education and leadership foundation which has contributed greatly toward the success he has enjoyed in his chosen career. Michael would like to help students fulfill their potential for leadership within the Miami University LGBT community through the financial assistance this gift will provide. William J. Gracie, Jr., LGBT Scholarship William J. Gracie, Jr., was a member of the faculty for thirty-nine years both as a professor in the Department of English and as an academic administrator. His administrative appointments included Director of Freshman English; Director of the Summer Reading Program; Associate Chair of the Department of English; University Director of Liberal Education; and Dean of the School of Interdisciplinary Studies/Western College Program. Although he taught over twenty discrete courses from first-year composition through PhD-level seminars, most of those courses concentrated on his field—Victorian literature. In 1992 he offered the first course in Miami’s history on gay literature; he offered it a second time in 1994. He was given the Outstanding Teaching Award by Associated Student Government in 1990 and nominated to be Effective Educator several times. He was faculty advisor to the College Democrats for many years and academic advisor to Eta Upsilon of Pi Kappa Phi. His memberships include the Federal Club of the Human Rights Campaign; Tennyson Society; Titanic Historical Society; and the Chicago Symphony Orchestra Association. In 2015, William Gracie and his partner Daniel Fairbanks celebrated their fortieth anniversary. 1809 LGBT Alumni | a legacy of Miami Pride | www.1809LGBTalumni.org Scholarship Nomination Form | 3 Self-Nomination Form Use this form if you are nominating yourself for a scholarship. Your Full Legal Name Preferred Name (if different) Mailing Address Email Address Telephone Number Banner ID + Major(s) and Minor(s) Primary Campus at Miami Anticipated Graduation Date Cumulative GPA Upon submitting this application, the candidate certifies he/she/ze is in good academic and conduct standing, and gives authorization to have academic and judicial standings verified by GLBTQ Services. To complete this application, fill out the information above, and include the following. Please email the application as a single PDF or Word document to the 1809 LGBT Alumni Board at [email protected] by May 1, 2015. 1) A current résumé of your educational, employment, and leadership activities. Please be sure to include membership in student organizations. 2) Community Essay: (less than 500 words) How have you been involved in the lesbian, gay, bisexual, transgender, and allied community at Miami? How has it rewarded you and contributed to your growth? 3) Personal Goals Essay: (less than 500 words) How will this scholarship help you in achieving your academic goals? (This is an appropriate place to discuss issues of financial need, extenuating circumstances, and academic performance.) 4) Legacy Essay: (less than 500 words) We hope that this scholarship encourages you to continue the legacies built by the founders of the scholarships. Choose one of the people described on the “About Our Scholarships” page, and describe the concrete things you plan to do over the next semester that will continue this legacy. 1809 LGBT Alumni | a legacy of Miami Pride | www.1809LGBTalumni.org Scholarship Nomination Form | 4 Nomination Form Use this form if you are nominating another person for a scholarship. Your Name Your Email Address Your Telephone Number Nominee’s Full Legal Name Preferred Name (if different) Email Address Telephone Number Major(s) and Minor(s) Primary Campus at Miami Anticipated Graduation Date To complete this application, fill out the information above, and include the following. We will follow up with your nominee to get permission to check judicial and academic records and to request that the nominee submit a Legacy Essay. Please email the application as a single PDF or Word document to the 1809 LGBT Alumni Board at [email protected] by April 24, 2015. 1) Community Essay: (less than 500 words) How has your nominee been involved in the lesbian, gay, bisexual, transgender, and allied community at Miami? How has the nominee contributed to the community? 2) Nomination Essay: (less than 500 words) Why are you nominating this person for a scholarship? What is your connection to the nominee, and why do you consider this person especially deserving? 3) Legacy Essay: (less than 500 words) We hope that this scholarship encourages the community to continue the legacies built by the founders of the scholarships. Choose one of the people described on the “About Our Scholarships” page, and describe how this nominee is connected to this legacy. 1809 LGBT Alumni | a legacy of Miami Pride | www.1809LGBTalumni.org
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