Living Legacy Project · 2022 Mississippi Scholarship Application

Living Legacy Pilgrimage Scholarship Application

Please complete the following application as fully as possible. Scholarship decisions will be based on the information provided in this application.

All scholarship recipients must pay a minimum of $50 toward registration and most are expected to pay more. Travel expenses are not included. However, don't forget to calculate the cost of round-trip travel to Memphis in deciding how much of the registration fee to request.

Note: scholarship awards apply to double-occupancy only. If you do not have someone to room with, a roommate will be assigned to you.

The deadline for receipt of scholarship applications is August 15, 2022.

Following notification of grant awards, a completed registration form and the balance of fees are due by September 15, 2022.

Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone

Birthdate

(mm/dd/yyyy)

Why are you interested in the Living Legacy Pilgrimage?

Identity Information

This information is optional but helps us get a sense of who you are.

Additional race/ethnicity information

My primary gender identity is

Female

Male

Transgender

Genderqueer

Nonbinary

Gender non-conforming

Other gender identity

I prefer not to answer

The pronouns I would like others to use for me are:

She, her, hers

He, him, his

They, them, theirs (in the plural or singular)

Ze or zie

Hir/hirs

Other pronouns

I don't use pronouns. Please use my name.

List the pronouns you use here.

Request

Tell us about your financial situation.

Amount of Request

How much of the $1,225 registration fee are you applying for?

100% of registration fee minus $50 ($1,175)

$1,000

$500

Another amount

Another amount requested

Enter the amount you are requesting.

Additional assistance

The Living Legacy Project has limited funding available and highly encourages applicants to raise frunds from other sources such as your faith community, family, friends, an on-line appeal, or other fund-raising efforts. Is it possible that you might be able to receive additional financial support to attend this Pilgrimage from other sources?

Additional assistance

Yes

Maybe

Tell us about your plans for securing additional funds.

Previous Scholarship Assistance

Previous assistance

Have you previously received scholarship assistance from the Living Legacy Project?

Yes

When did you receive scholarship assistance and why is it important to you to participate again?

Thank you!

Thank you for your interest in the Living Legacy Pilgrimage! We will be in touch with you as soon as possible with information about your application for a scholarship.