OutHudson Scholarship Application
Please submit your application by June 30, 2019.

Award: $1,000 for each year of college (up to 4 years)

The scholarship recipient will be announced on July 15, 2019.

If you have any questions, please contact charlie@outhudson.com.

Eligibility:
Applicant must be a senior at a high school in Columbia County, NY.

Applicant must be accepted into an institution of higher education with the intention to enroll in Fall 2019.

Applicant must identify as LGBTQ or an LGBTQ ally.

Applicant Information:
Legal Name
Your answer
Chosen Name *
Your answer
Gender Pronouns (e.g. he/him/his, she/her/hers, they/them/theirs, etc.) *
Your answer
Address
Your answer
Date of Birth *
Your answer
Email *
Your answer
Phone Number
Your answer
Preferred Contact Method *
Required
Current GPA (0 - 4.0) *
Your answer
Please state the college you will attend in the Fall of 2019? *
Your answer
References:
Please provide the name, phone number, and email address of two academic or professional references. Reference #1: *
Your answer
Please provide the name, phone number, and email address of two academic or professional references. Reference #2: *
Your answer
Short Answers:
Please list any school-related activities or academic honors. *
Your answer
Please list any external affiliations, community service activities, and work experience. *
Your answer
Please describe your experience supporting LGBTQ people, your commitment to advancing LGBTQ rights, and/or your future goals to serve LGBTQ people in a professional capacity. *
Your answer
I certify that the answers provided above are truthful and accurate. I understand that if accepted, I will need to provide OutHudson with a high school transcript and proof of college enrollment. *
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