The Lax Scholarship Fund was established in 1994 by the late entrepreneur and inventor Jonathan R. Lax for the express purpose of encouraging gay men to obtain higher education, to aspire to positions in which they contribute to society, to be out about their sexual orientation, and to act as role models for other gay men with similar potential.

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Please complete all required fields and submit your application by 5:00 pm (EST) on November 1, 2017.

NOTE: It is a good idea to PRINT THE APPLICATION FIRST, review it and decide what you plan to write, and then come back and fill out the application. You can come back to this application any time and your data will be saved. You will not be able to change any information once you hit Submit so do NOT hit Submit until you are finished with the application.

We also recommend you CONTACT YOUR THREE REFERENCES (academic, community involvement and personal) as soon as possible.  Let them know they will be receiving an email from Submittable with instructions on how to complete their letters of reference online.

*Required fields are marked with a red asterisk.*

If you need assistance while completing this form, please call Aarati Kasturirangan, director of programs, at 215-731-1107 x206 or email lax@breadrosesfund.org.

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