Educator Nomination Form: Greater Kansas City PFLAG/GLSEN Scholarship for an LGBTQ+ Student in Financial Need- 2020
Are you an educator working with LGBTQ+ students in a high school in the greater Kansas City metropolitan area in Missouri or Kansas? If so, please read on.

This form is collecting email addresses of respondents. This will assure we will have contact information for you but we will only use it to communicate with you IF you nominate a student. We will not share this email with anyone.

For additional information or any assistance with an alternate method of application submission, please contact:
Email address *
What is this scholarship?

The Kansas City chapters of PFLAG and GLSEN have joined in support of young people furthering their education after high school and have established scholarships for students who identify as LGBTQ+. In addition to scholarships for which students can apply themselves, the organizations will provide another scholarship for post-secondary education (college, university, training, trade school) of one LGBTQ+ high school senior who demonstrates financial need, chosen from the nomination of an educator. One $XXXX scholarship will be awarded in 2020 for a graduating senior pursuing an education after high school. The student will receive a check to be used for his/her/their education.

PFLAG and GLSEN are 501(c)3 organizations under the umbrella of PFLAG National/GLSEN National.

The mission of GLSEN is to create safe schools for all, regardless of sexual orientation and gender identity/expression, is dedicated to fostering a work environment and designing programs and resources that are inclusive and celebratory of diversity, and sensitive to the role of power and privilege in society. The mission of PFLAG is uniting people who are lesbian, gay, bisexual, transgender, and queer (LGBTQ) with families, friends, and allies. PFLAG is committed to advancing equality through its mission of support, education, and advocacy.

The selection committee and the sponsoring organizations do not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, region of residence, school affiliation, or military status.

Upon submission of this application, nominators will not be able to edit their answers.

How do I nominate an outstanding student?

The application includes the completion of one letter of nomination, to be submitted by an educator in the student's school by February 28, 2020, 11:59 pm (CST). The scholarship recipient will be notified by early April 2020 and will be invited to a public presentation of the scholarships at the Break the Silence event in Kansas City.
Who should be nominated and how do we verify need?
The scholarship application is open for an educator to nominate ONE high school graduating student, from a public or private high school in the greater Kansas City area, who identifies as LGBTQ+ and is pursuing education beyond high school in the next academic year. The representatives of GLSEN and PFLAG serving on the selection committee will trust the nominating adult representing the school community to assure the applicant possesses financial need due to the financial challenges faced by the student's family or by the lack of financial support provided by the family as the student funds an education after high school. No documentation of the student's need will be required although the nominator will be asked to attest to the student's need.
How many students can I nominate?
Only one student will be accepted as a nominee from any one school. Please do not submit more than one student from your school.
How will the recipient be selected?
A committee of chapter volunteers of GLSEN and PFLAG will evaluate applications based on the overall impact of the nominator's descriptions of students' capacity to advocate for the civil liberties of all people, particularly members of the LGBTQ+ community.
May I nominate a student who is already planning to apply for another application (those for which students submit their own applications) from GLSEN and PFLAG?
Yes, you may nominate a student who is self-applying for a different scholarship from these organizations. The selection committee will attempt to choose a student who is not already the recipient of another award for this scholarship, however.
How will the recipient be notified?
A representative of the selection committee will contact the nominating educator and ask him/her/them to notify the student, prior to the representative contacting the student. The nominating educator may choose to keep the nomination secret from the student or may notify the student of the nomination. Either way, the organizations will contact the educator whose student nominee is chosen by the end of April.
Nominating Educator's Name *
Your answer
Nominating Educator's Preferred Pronouns *
Name of High School *
Your answer
Address of High School *
Your answer
Nominating Educator's position in the school community (Teacher, Counselor, Administrator, etc.) *
Your answer
Nominating Educator's Work Phone Number *
Your answer
Student Nominee's Name (as it should appear on a scholarship check) *
Your answer
Student Nominee's Preferred Name, if different from above
Your answer
Student Nominee's Preferred Pronouns *
Student Nominee's Mailing Address *
Your answer
Student Nominee's email *
Your answer
Student Nominee's Phone Number (if available)
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy