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Community Support
Convening
Scholarships
About
Board of Directors
Supporters and Sponsors
Donor Advised Funds
Foundation News
Contact
Upcoming Events
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Contact Information
Name
*
First
Middle
Last
Preferred Name
Pronouns
Personal Email
*
School Email
Phone Number
State of residence
*
County of residence
Wisconsin residents only.
Length of time as a resident
*
Permanent Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Personal Information
The information below is for Cream City Foundation to better understand the populations we serve. We will not release this information to the public.
Birthday
How did you learn about these scholarships?
*
High School Counselor
College Financial Aid Officer
Word of Mouth
Event/Workshop
Newspaper/Publication
Cream City Foundation Website
Another Website
Social Media
Other
If other, please specify
Please specify which website
Please specify which account (Facebook or Instagram)
Sexual Orientation
*
Lesbian
Gay
Bisexual
Heterosexual/Straight
Queer
Questioning
Two Spirit
Same Gender Loving
Asexual
Pansexual
Prefer not to disclose
Other
We support every individual's right to self-identify in regards to their sexual orientation and gender identity. In order for us to better understand the people we are serving, we ask that you select the options that most closely apply to you.
If other Sexual Orientation, please self-identify
Gender Identity
*
Woman
Man
Trans Woman
Trans Man
Genderqueer
Gender non-conforming
Intersex
Prefer not to disclose
Other
If other Gender Identity, please self-identify
Race/Ethnicity
*
American Indian or Alaska Native
Asian
Black or African American
Hispanic
Native Hawaiian or Other Pacific Islander
White
Prefer not to disclose
Other
If other Race/Ethnicity, please self-identify
High School Information
High School/Home School/GED* (If you have attended more than one school, only use details of the latest institution below.)
School Name/Home School/GED
*
State of Graduation
*
Year of Graduation
*
Current Institution
School Name
*
School Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Expected Degree (e.g. associate, bachelor's, master's, etc.)
*
Major/Field of Study
*
Expected Graduation Date
*
Enrollment Status
Please choose
part-time
full-time
Personal Biography
Please write a brief personal biography highlighting your work, goals, and merits. This statement will serve as an introduction to our Board of Directors and as a website bio for those who choose that option. Please write this statement in the third person as in the example below. (Maximum 100 words.) (Example: Taylor Williams is attending the University of Wisconsin and pursuing an undergraduate degree in Political Science. An advocate for the rights of communities of color and LGBTQ communities, they hope to instigate change through action, inspiring youth to recognize their own potential to learn and transform the world. Taylor has made becoming an immigration lawyer their long-term goal, working with communities that are frequently denied access to resources due to their identities and social spheres.)
Personal Biography
Essay Questions
Please complete each the following required essays. (Maximum 750 words per question).
How will your area of study, future plans and career goals contribute to fostering the LGBTQ+ communities?
*
What community organizations or groups have you been involved with, and what was your role with these organizations?
How has your community involvement made a positive impact on the LGBTQ+ communities
Describe a challenge or barrier that you have faced as an LGBTQ+ individual or ally. What did you learn from this experience, what kind of cultural awareness did you develop, and how did that influence your personal values and goals?
Waiver and Personal Information Release
If you receive this scholarship, we may wish to publicly release your information. Please let us know which of these things you agree to. Additionally, regardless of whether or not you receive this scholarship, corporate donors to this scholarship fund may be interested in contacting you regarding possible internship opportunities at their companies. Please let us know if you are comfortable with us releasing your contact information to them. We will not release your contact information to individuals who have made donations to this scholarship. Regardless of your answer, there will be no bearing on the selection process.
I grant permission to Cream City Foundation to publish an announcement of my scholarship award on its website, social media and other media outlets.
*
Yes
No
I grant permission to Cream City Foundation to issue a press release that announces my scholarship award.
*
Yes
No
I grant permission to Cream City Foundation to use my photograph in its publicity releases about my scholarship award.
*
Yes
No
I grant permission to Cream City Foundation to use my biography statement in its publicity releases about my scholarship award.
*
Yes
No
I grant permission to Cream City Foundation to use my photograph on its website, social media and other media outlets.
*
Yes
No
I grant permission to Cream City Foundation to use my biography statement on its website, social media and other media outlets.
*
Yes
No
I grant permission to Cream City Foundation to release my email address to companies who have donated to this scholarship fund.
*
Yes
No
I grant permission to Cream City Foundation to release my phone numbers to companies who have donated to this scholarship fund.
*
Yes
No
I grant permission to Cream City Foundation to release my address to companies who have donated to this scholarship fund.
*
Yes
No
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