LGBTQ+ Leg Up On Life Scholarship Application

Scholarship Application Form

Applications are due by March 15th for Summer and Fall programs. (Awarded in May) and September 15th for Winter Programs (Awarded in November).
This scholarship is for individuals in the LGBTQIA+ community looking to further their study in an arts field (Visual Arts or Performing Arts). Read and fill out the application carefully prior to submitting your application. You will only be notified if you are awarded the scholarship.
Read and Understand the instructions.*

Yes, I have
If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.
I. Personal Data:

Tell us about yourself
Full Name*

First NameLast Name
Birthdate:*

MonthDayYear
Mobile No. :*

Area CodePhone Number
E-mail :*
Where the confirmation will be send to
Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Gender:

MaleFemaleNon-BinaryOther
Are you a US citizen?

YesNo
Ethnic Origin:

American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Other Pacific Islander
Race? (Choose one or more):

Black or African AmericanAsianAmerican Indian or Alaskan Native Hawaiian or Other Pacific IslanderHispanic or LatinoNon-Resident AlienMixedOther
What level of education have you achieved?

High School or GEDSome College2 or 4 Year College ProgramMaster's Degree ProgramOther
Are you currently enrolled in a Visual or Performing Arts Program?

YesNo
What major field of study have are you currently or previously studying and where? (Optional)

0/300
What are of study are you pursuing and when will you begin attendance? (Please include when the start of you Certificate, 2 or 4 year program would begin)

0/300
What is your Career Objective:

0/600
What past training or experience do you have in the arts?

0/600
II. Essay
Your essay should be 500-1000 words. You should address in your essay: your goals in the arts and why you chose the field of study, what you intend to do with your education, and why a scholarship is important to you. Include any previous hurdles or accomplishments in the past that are related to being a member of the LGBTQIA+ community and how they can be reflected in your craft.
Essay:

0/1000
VIII. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:*
Should be Empty:

Scholarship Application Form

I. Personal Data:

II. Essay

VIII. Applicant's E-Signature