GSDBA FOUNDATION Scholarship Application

Name *
Prefix
First *
Last *
Suffix
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Phone Number

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Email *

CURRENT COLLEGE/INSTITUTION

Name of School
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Phone Number

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For what term have you been accepted/admitted?
Overall GPA:
What program of study are you pursuing?
When did you begin this program?
When do you anticipate completing this program?
NOTE: Please attach proof of acceptance or letter of enrollment & copy of transcript

Please type your answers to the following questions.

1. Describe your education/business/career goals.

Be specific about what you will study and how you will achieve your goals.
*
2. How will you continue your education if you do not get a scholarship? *

Please list all high school and post secondary institutions you have attended. Include school name, address, years of attendance and course studies.

School Name
Years Attended
Major / Minor
Degree Attained
School Name
Years Attended
Major / Minor
Degree Attained
Other Certificates/Degrees and dates attained.

Please Check One of the Following:

Copy of Transcripts from my most recent school are attached.
 Yes 
 No 
Upload a File

Although I have enclosed my transcript, it may not necessarily reflect my abilities. Attached is a description of what I have studied and why I can succeed in the program I plan to pursue.

 Yes 
 No 
Upload a File
Briefly describe your community, school, and extra-curricular activities, including the names of the organization and the years you were involved.
School (Theatre, clubs, sports, student government, etc.)
Work Experience
Community (volunteer service, church, youth group, etc.)
Activism (political or initiative campaigns, activist groups, etc.)
Honors/Awards

Personal References

Please attach 1 letter of support from an individual who knows your efforts on behalf of the San Diego Community. *
Please attach 1 letter of reference from an individual who knows your capabilities for success in the program you plan to pursue. *

Tell Us About You

How do you plan to demonstrate support and commitment to the LGBT community of San Diego? *
What extraordinary barriers have you had to overcome and how did you overcome them? *

AGGREEMENT

I certify that the facts contained in this application for a scholarship with GSDBACF are true and complete to the best of my knowledge, I understand that any falsification, misrepresentation or deliberate omission of facts will be sufficient reason for disqualification. Additionally, I understand that GSDBACF will publicly release my name and photograph as it relates to the Community Scholarship Fund. I understand the final selection is at the sole discretion of the Greater San Diego Business Association Charitable Foundation.

AGREE *
 I AGREE 
Name *
Prefix
First *
Last *
Suffix

Optional (For statistical purposes only)

AGE
SEX
Ethnicity
Orientation
Do you have a gay or lesbian parent
How Did You Hear About Us?
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