GSDBA FOUNDATION Scholarship Application
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| Name
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| Prefix
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| First
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| Last
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| Suffix
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| Address
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| Street Address
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| Address Line 2
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| City
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| State / Province / Region
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| Country
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| Phone Number
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| Email
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CURRENT COLLEGE/INSTITUTION
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| Name of School
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| Address
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| Street Address
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| Address Line 2
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| City
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| State / Province / Region
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| Postal / Zip Code
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| Country
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| Phone Number
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| For what term have you been accepted/admitted?
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| Overall GPA:
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| What program of study are you pursuing?
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| When did you begin this program?
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| When do you anticipate completing this program?
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| NOTE: Please attach proof of acceptance or letter of enrollment & copy of transcript
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Please type your answers to the following questions.
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1. Describe your education/business/career goals.
Be specific about what you will study and how you will achieve your goals.
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| 2. How will you continue your education if you do not get a scholarship?
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Please list all high school and post secondary institutions you have attended. Include school name, address, years of attendance and course studies.
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| School Name
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| Years Attended
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| Major / Minor
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| Degree Attained
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| School Name
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| Years Attended
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| Major / Minor
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| Degree Attained
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| Other Certificates/Degrees and dates attained.
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Please Check One of the Following:
Copy of Transcripts from my most recent school are attached.
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| Yes No
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| Upload a File
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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.
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| Yes No
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| Upload a File
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| Briefly describe your community, school, and extra-curricular activities, including the names of the organization and the years you were involved.
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| School (Theatre, clubs, sports, student government, etc.)
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| Work Experience
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| Community (volunteer service, church, youth group, etc.)
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| Activism (political or initiative campaigns, activist groups, etc.)
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| Honors/Awards
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Personal References
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| Please attach 1 letter of support from an individual who knows your efforts on behalf of the San Diego Community.
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| Please attach 1 letter of reference from an individual who knows your capabilities for success in the program you plan to pursue.
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Tell Us About You
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| How do you plan to demonstrate support and commitment to the LGBT community of San Diego?
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| What extraordinary barriers have you had to overcome and how did you overcome them?
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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.
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| AGREE
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| I AGREE
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| Name
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| Prefix
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| First
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| Last
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| Suffix
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Optional (For statistical purposes only)
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| AGE
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| SEX
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| Ethnicity
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| Orientation
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| Do you have a gay or lesbian parent
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| How Did You Hear About Us?
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Image Verification
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