Clone of 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, 2026 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, 2026 through August 15th, 2026.• SAVE THE DATE- October 22nd, 2026: 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, 2026.
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:*
YesNo
**For Highschool Students Only**
Year of High School Graduation or GED:*
Name of Anticipated College College Name
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.
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

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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

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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

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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
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Additional Requirement

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

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L.O.R. 2 (optional)

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Additional Requirement

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

Please prepare and provide an essay (500 words minimum; 2-page maximum) responding to the following prompt: Reflect on a moment when your identity as an LGBTQ+ individual - or your role as an ally - shaped your worldview, strengthened your resilience, or influenced your aspirations. Describe how this experience contributed to your personal growth, community engagement, and long‑term goals. Share how the LGBTQ+ community has supported or inspired your path toward higher education and what motivated you to pursue a career in healthcare. Explain why you’re seeking this scholarship, highlight the ways you’ve made a meaningful impact within the LGBTQ+ community, and discuss how you plan to advocate for and support LGBTQ+ individuals throughout your future work in healthcare.
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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

VIII. Applicant's E-Signature

For Highschool Students Only