Parents, Families, and Friends of Lesbians and Gays (PFLAG) – Detroit

Scholarship Program Nomination Form 2008

PFLAG-Detroit is pleased to provide three $500 college scholarships to students who have shown support for gay, lesbian, bisexual, or transgender individuals or programs.  Nominations must be submitted by July 31 of each year and awards will be made by second Sunday of August annually.  Applicant’s home address MUST be in Wayne, Oakland, or Macomb, Counties.

When making these awards PFLAG-Detroit will not discriminate against any individual based upon race, color, religion, sex, national origin, age, sexual orientation, disability, or disabled veteran, Vietnam era veteran, or other eligible veteran status.

Individual preparing this nomination:            Individual nominated (You may nominate yourself for this award):

Name: ______________________________             ______________________________

Address _____________________________            ______________________________

            ______________________________            ______________________________

Phone _______________________________            ______________________________

Please describe in 300 words or less how this individual has shown support for gay, lesbian, bisexual, or transgender individuals or programs (limit to 300 words please):

Please mail completed nomination to: PFLAG-Detroit, P.O. Box 1169, Royal Oak, MI 48068-1169 or Fax at 248-274-1087