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Application Deadline: May 15, 2015
Queens of the Castro Scholarship Application 2015
PROGRAM
Post-­‐Secondary Opportunity: Identity (LGBTQQAI): APPLICANT INFORMATION
Full Name: Last Name First Name Preferred First E-­‐mail: Middle Name Phone: Mailing Address: Birthdate: Number & Street Apt # Type: MM/DD/YYYY Birth City City State/Province Country Zip Birth State/Region Birth
HIGH SCHOOL INFORMATION
High School: Name Extracurricular Activities: City State/Province Country GPA Name Position (if applicable) Involved from to Name Position (if applicable) Involved from to Name Position (if applicable) Involved from to Name Position (if applicable) Involved from to Name Position (if applicable) Involved from to Discuss your favorite extracurricular activity and the most important thing you learned (150 words): Queens of the Castro Scholarship Application 2015
Academics: Please list your senior year courses. Discuss your favorite class and the most important thing you learned (150 words): ESSAYS
Please respond to the following essay prompts on a separate piece of paper. Maximum word limit for each prompt: 500. 1) Why do you think a Gay Straight Alliance is an important club to have in schools? Please reference your own participation in GSA and the impact it has had in your school community. 2)
How has your sexual orientation affected your life (think about both positive and negative aspects)? Please discuss the impacts on your academic, social and family experiences. 3)
What are your plans after you graduate high school? Please discuss how the QOTC scholarship will help you realize these goals. 4)
What advice would you give to a future LGBTQ student?
If you are chosen and accept this scholarship, you must commit to the following or risk forfeiting your funds: *Attend an award ceremony in 2016 where you will: *Take a picture with our photographer for our scholarship website *Create a video with the help of our videographer that speaks to your experience as an LGBTQ student and how the scholarship has helped you *Submit receipts and a brief explanation of how you used your funds I hearby agree to the above conditions for the Queens of the Castro scholarship. If I do not adhere to these conditions, then I understand I will have to pay back $2000 to the Queens of the Castro. Signature______________________________________________ Date______________