VIDA 2025 Scholarship Application Form YOUR CONTACT INFORMATIONName(Required) First Last PronounsEthnicity(Required)Address(Required) Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Email(Required) EDUCATIONCurrent GPA(Required)Present Education Level(Required)Select from ListHigh School SeniorUndergraduate (Freshman)Undergraduate (Sophomore)Undergraduate (Junior)Undergraduate (Senior)Graduate (First Year)Graduate (Second Year)Graduate (Third Year)Current Degree Objective(Required)Major(Required)MinorYour University or Technical School (High School Students: Indicate Your Expected College)(Required)Anticipated Graduate Date (Month and Year)(Required)Will you be the first in your family to attend college?(Required) Yes No ADDITIONAL QUESTIONSHow did you learn of the VIDA scholarship program(Required)VIDA scholarship funds are designated for students who identify as LGBTQ+ Latinx. Please describe your identity along this spectrum, as it relates to sexuality. Examples might be: “Transgender”, “Lesbian”, “Bisexual”, etc.(Required)CONSENT FOR PROMOTIONAL MATERIALSType your name in the box below to indicate that you consent to have your essay, photo, and name used in promotion with the VIDA Scholarship.*(Required)Your Facebook profile name (for tagging purposes, if awarded a scholarship)(Required)Your Instagram profile name (for tagging purposes, if awarded a scholarship)(Required)GENERAL SCHOLARSHIP APPLICATION ESSAYThe following question must be answered in your own words and typed in English with no spelling or grammatical errors. Essays are limited to 1,000 words. Explain 4 examples from the past year, done by you, that made a difference in your community. What will you do to change the world for the better?Your Essay(Required)SUBMITTAL LISTSigned Letter(s) of Recommendation(Required) Drop files here or Select files Accepted file types: pdf, Max. file size: 10 MB. (please format file name as “firstname_lastname_LOR.pdf”)Unofficial Transcript or Letter of Enrollment(Required)Accepted file types: pdf, Max. file size: 10 MB.(please format file name as “firstname_lastname_TS.pdf”)Applicant Photograph(Required)Accepted file types: pdf, Max. file size: 10 MB.(please format file name as “firstname_lastname_PH.pdf”)
