Southwest Wisconsin Rainbow Scholarship Application – Southwest Wisconsin Rainbow Alliance

SWRA Scholarship Form

Company

This field is for validation purposes and should be left unchanged.

Applicant Contact Information

Name(Required)

First Last

What are your pronouns?(Required)

Let us know which pronouns you would like to go by so folks know how to address you.

They/Them

She/Her

He/Him

Prefer to self identify

Your pronouns

Phone Number(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

What part of the LGBTQ+ community/ally do you identify with?

If you receive this scholarship, would you require confidentiality?(Required)

Yes

School Information

Please provide information about your community college, high school, continuation school, or nontraditional G.E.D school.

School Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Submissions

Letter of Recommendation

What is the name of the person who wrote your letter of recommendation?(Required)

First Last

What is your relation to them?(Required)

Are they your teacher, counselor, employer, mentor?

What is their email?(Required)

Upload Letter of Recommendation(Required)

Max. file size: 512 MB.

Personal Statement

Please provide a personal statement describing your Queer experience in Southwest Wisconsin in 650 words or less. This prompt is very open-ended, and you may write about anything that relates to your experience as an individual that identifies with the LGBTQ+ community or how your allyship became a focus for you. You may choose to include any obstacles or barriers that you may have faced or struggled with your gender identity and/or sexual identity. We are not looking for perfect grammatical structure, nor are we looking for an extravagant resume. We simply want you to share your story. Please note the SWRA would like to hear your own stories in your own words and request that generative AI is not used in writing your personal statement or goal statement.

Tell us your story.(Required)

Goals and Aspirations

Please describe your goals and aspirations and the steps you plan to take to achieve them. (250-word maximum).

Tell us your goals, dreams, and hopes.(Required)

Signature(Required)