2025 Palmer Family Scholarship Application Form

The Rainbow Chamber Foundation Scholarship

The Rainbow Chamber Foundation’s Palmer Family Health Care Education Scholarship was established in memory of Mary & Frank Palmer. Aiding LGBTQ+ and allied healthcare students is Frank and Mary’s way of showing appreciation for the selfless and compassionate care they received from nursing staff during their final years.
Scholarship Application Form

Application Deadline - August 15, 2025 Please submit your questions to: scholarships@rainbowchamber.com
General Scholarship Information

• Funds are available to LGBTQ+ and LGBTQ+ supportive students.• Scholarships are $1,500. A minimum of one Super Scholar will be selected for a$2,500 Scholarship.• Scholarships are paid in one installment and will be awarded at our annual Boas and Bow Ties Gala.• Graduating High School Seniors, Vocational, Undergraduate, and Graduate students are welcome to apply.• Applications will be accepted April 1st, 2025 through August 15th, 2025.• SAVE THE DATE- October 9th, 2025: All selected scholarship recipients plus one guest will be invited to attend the Sacramento Rainbow Chamber of Commerce Annual Boas & Bow Ties Gala.
Requirements

• Must reside in or attend school in the following counties: Sacramento, Amador, Butte, Calaveras, Colusa, El Dorado, Nevada, Placer, Plumas, San Joaquin, Sierra, Solano, Stanislaus, Sutter, Tuolumne, Yolo, or Yuba.• Must be enrolled in college, or a qualified vocational school by August 15th, 2025.
Read and Understand the instructions.*

Yes, I have

I. Personal Data:

Tell us about yourself
Full Name*

First NameLast Name
Name of Parent/Guardian (if under 18)

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
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Major Area of Study:*
Please indicate what is your major are of study
Most recent college attended and cumulative transfer GPA:*
Have you previously received a scholarship from the Rainbow Chamber?*

YesNo
**For Highschool Students Only**
Year of High School Graduation or GED:*
Name of Anticipated College College Name
Have you submitted an application for admission?*

YesNo
Major Area of Study:*
Please indicate what is your major are of study
Confidential Application Disclosure:

An applicant may, without any adverse impact on the consideration of their application, indicate in writing on the application that any award remain confidential. In such an event, attendance at the dinner will not be required, the recipient will not be identified by name at the dinner, and the Foundation will not place that recipient’s information on the Foundation website. However, the Foundation cannot further guarantee confidentiality.
Do you request your application to be confidential?

YesNo

Extracurricular and/or Community Service Activities

List most recent first
1. Name of Organization

NameName
Position Held within Organization
Organization Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upload Description of Duties Performed
Upload a Description or Duties Performed

Browse Files

Cancelof
Name

First NameLast Name
Phone Number

Area CodePhone Number
2. Name of Organization

NameName
Organization Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position Held within Organization
Upload Description of Duties Performed
Upload a Description or Duties Performed

Browse Files

Cancelof
Reference Name

First NameLast Name
Phone Number

Area CodePhone Number
3. Name of Organization

NameName
Organization Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position Held within Organization
Upload Description of Duties Performed
Upload a Description or Duties Performed

Browse Files

Cancelof
Reference Name *

First NameLast Name
Phone Number

Area CodePhone Number
4. Name of Organization

NameName
Organization Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position Held within Organization
Upload Description of Duties Performed
Upload a Description or Duties Performed

Browse Files

Cancelof
Reference Name

First NameLast Name
Phone Number

Area CodePhone Number

Additional Requirement

Short Bio: Please tell us about yourself and include why you are pursuing or interested in your major? Please include the following information: Phonetic spelling of your name, Pronouns, and School name and course of study
Browse Files

Cancelof
Additional Requirement

Please upload a minimum of one letter of recommendation
L.O.R. 1 (required)*

Browse Files

Cancelof
L.O.R. 2 (optional)

Browse Files

Cancelof
Additional Requirement

Email/Letter confirming enrollment status. Must include program start date and contact information for validation of enrollment status.
Browse Files

Cancelof
Additional Requirement

Personal Essay (500-600 Words) responding to the following prompt: Describe a time when your identity as an LGBTQ+ individual or ally shaped your perspective, resilience, or aspirations. Reflect on how this experience influenced your personal growth, community involvement, and goals. Additionally, explain how the LGBTQ+ community has impacted your journey toward higher education and what inspired you to pursue a career in healthcare. Discuss why you are applying for this scholarship, how you've made a difference within the LGBTQ+ community, and how you plan to advocate for and support the LGBTQ+ community in your future healthcare career.
Browse Files

Cancelof
Additional Requirement

Personal reflection statement: Please provide a brief statement (250 words or less) to one (or both) of the following prompts: 1) If you could have dinner with any LGBTQ+ icon (past or present) who would it be and why? OR 2) What was a small act of kindness that had a big impact on you?
Browse Files

Cancelof
Pronouns:*

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:*
We highly encourage printing a copy of your submitted scholarship application. For any questions regarding your application, please contact scholarships@rainbowchamber.com.
Should be Empty:

The Rainbow Chamber Foundation Scholarship

Scholarship Application Form

General Scholarship Information

Requirements

I. Personal Data:

**For Highschool Students Only**

Extracurricular and/or Community Service Activities

Additional Requirement

Additional Requirement

Additional Requirement

Additional Requirement

Additional Requirement

VIII. Applicant's E-Signature

For Highschool Students Only