OUT Maine · EVENT - Scholarship Application

Applicant Contact Information

Name

*

First Name

Last Name

Email

*

Verify Email

*

Phone

*

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

County

*

Date of Birth

*

Must be between the ages of 17 and 22.

Current School

School applicant is currently attending

*

What institution of higher learning do you plan to attend or are attending?

*

Type of School

*

GPA

*

Documents

Please attach a pdf, jpg, or png. If needed, you may send these attachments separately in an email to scholarship@outmaine.org

Are you an immigrant whose immigration status prevents you from obtaining a Student Aid report from FAFSA?

*

State Driver's License or State ID

Unofficial High School or College Transcript

Student Aid Report From FAFSA

Financial Aid Award Letter from College or University

Essay

Essay questions (500 words or less)

Please describe your involvement with OUT Maine, a GSTA, another LGBTQ+ organization, or the LGBTQ+ community.
Tell us about your work, volunteer, and community involvement experiences.
Why should we pick you? What about this opportunity will change your life to make a difference?
What drives you? How will you leave your mark on the world?

Essay

*

PDF or Microsoft Word documents only.

References

Please provide the name and email of two references. References cannot be family members.

You will be responsible for sending the Scholarship Reference Form to your references. This form will be emailed you after you submit this form.

Reference #1 Name

*

First Name

Last Name

Reference #1 Email

*

Verify Email

*

Reference #2 Name

*

First Name

Last Name

Reference #2 Email

*

Verify Email

*

OUT Maine Scholarship Fund Application

Applicant Contact Information

Current School

Documents