Scholarship Application

Scholarship Application

Applications for Hampton Roads Pride scholarships are open to high school students and persons who are attending, or have been accepted to, an accredited post-secondary educational institution in the United States and who identify as Lesbian, Gay, Bisexual, Transgender, Queer or Questioning (LGBTQ+), or identify with an affiliated community (including, but not limited to, Intersex, Asexual, Pansexual, Two-spirit, Nonbinary, Agender and Genderqueer) as well as LGBTQ+ allies (those who do not identify as LGBTQ+, but who are allied with and support the LGBTQ+ community).

Applicants must have a grade point average of 3.0 or above, and provide official transcripts from their educational institutions to: Hampton Roads Pride, Attn: Scholarship Committee, P.O. Box 6118, Norfolk, VA 23501. Official transcripts must be postmarked by November 1, 2020 to be considered.

Applicants must reside in the Commonwealth of Virginia in one of the following areas: Accomack County, Chesapeake City, Hampton City, Isle of Wight County, James City County, Newport News City, Norfolk City, Northampton County, Poquoson City, Portsmouth City, Suffolk City, Virginia Beach City, Williamsburg City, or York County.

ALL APPLICATION MATERIALS ARE DUE BY 11:59 P.M. ON SUNDAY, November 1, 2020.

APPLICANT INFORMATION

Name (required)

Last Name First Name Middle Initial

Address (required)

Street Address Apt. or Unit #

City State Zip Code

EmailPhone Number (Including area code)

EDUCATION

Currently Enrolled in:

If in college or other post-secondary institution, list most recent information first.

High School Attended:

High School GPA

From Date (mm/yyyy) To Date (mm/yyyy) Did you graduate? YesNo

College Attended:

College/University GPA

From Date (mm/yyyy) To Date (mm/yyyy) Did you graduate? YesNo

Other:

Other GPA

From Date (mm/yyyy) To Date (mm/yyyy) Did you graduate? YesNo

Field of Study (if applicable):

REFERENCES

Please list three professional or academic references.

Reference 1

Name Relationship
Company/Organization
Phone Number Email

Reference 2

Name Relationship
Company/Organization
Phone Number Email

Reference 3

Name Relationship
Company/Organization
Phone NumberEmail

ESSAY UPLOAD

Please upload your essay file here as a .doc, .docx, .txt, or .pdf file. Include your first and last name in the header on each page of the essay. Essay text should be double spaced and size 12-point Arial font.

Submit an original essay of at least 500 and no more than 1000 words. Essay content should include your hobbies and interests with a special focus on your service to the LGBTQ+ community and/or community at-large. Please provide details on any awards or commendations you have received, your extracurricular activities, and explain your educational goals and aspirations. Additionally, share why financial assistance like this scholarship is necessary to pursue your post-secondary education.

Where did you hear about Hampton Roads Pride's Scholarship Program?

If you wish, you may provide a link or links to your social media profile(s) here (such as Facebook, LinkedIn, etc.):

DISCLAIMER & SIGNATURE

I certify that my answers are true and complete to the best of my knowledge. Typing your full name below will serve as your signature. Application is not considered complete until official transcripts from all educational institutions have been received by Hampton Roads Pride.

Sign Here