HB | The House of Blahnik | The House of Blahnik Scholarship Application 2010

The House of Blahnik Scholarship Application 2010

BASIC INFORMATION

First Name:(required)
Last Name:(required)
Address:(required)
City: (required)
State:(required)
Zip:(required)
Date of Birth:(required)
Phone (Day):(required)
Phone (Evening):(required)
Email Address:(valid email required)
Race (Optional)
Sexual Orientation (Optional)

HIGH SCHOOL/COLLEGE EDUCATION

Name of Institution (1)(required)
Years of Attendance (1)(required)
Course of Study (1)(required)
Diploma / Degree (1)(required)
GPA (1)(required)
Name of Institution (2)
Years of Attendance (2)
Course of Study (2)
Diploma / Degree (2)
GPA (2)

ACCOLADES

Honors, Fellowships, Awards, Extracurricular Activities, Publications, Exhibitions, Performances, ETC.(required)
List your most significant achievements, which concern gay-related/sponsored organizations. Be sure to include any groups or houses that you have belonged to within the ballroom and for how long.(required)

INSTITUTIONS(S) YOU WILL ATTEND IN FALL 2010

Institution Location (1)(required)
Program/Degree (1)(required)
Have you been accepted to this institution/program? (1)(required)
Institution Location (2)
Program/Degree (2)
Have you been accepted to this institution/program? (2)

COMMUNITY BUILDING

What does community mean to you? Based on your definition of community how do you see yourself within your community?(required)
What kind of issues or social problems do you see facing your community? How have you worked to improve these problems or issues?(required)
If selected for the scholarship how will you use this as an opportunity to impact change within the community?(required)

CONTRIBUTIONS TO THE BALLROOM

What persons/people (you don’t have to give names) contributions negative or positive have influenced your development within the ballroom community? (required)
The ballroom is a microcosm of the larger community. How have societal events impacted the ballroom community in which you exist? (required)
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