Application of Funds from TUFF

Please fill out and e-mail to tufforg@gmail.com

Basic Information
Name:
Age:
City and State:
Gender Identity:
E-mail:

Medical Information
Hormones? Yes (how long), No,

Surgery types already had:

Currently seeking therapeutic treatment?

Funding request
What are you requesting funding for?

How much funding are you requesting?

How much have you already saved or put aside for this medical cost?

Background information
Are you employed? (If not, explain why)

Are you dependent on anyone for financial support (I.E parents, partner)? (If yes,
explain)

What does your support structure look like? (Do you have family support? Friend
support?)

Personal Essay 1
How do you identify within the transgender community? Are you an out and proud
activist? Do you keep stealth? Are the majority of your friends trans* identified, or are
you the only one you know? Explain in 500 words or less your connection within the
transgender community, and how your own identity shapes that. Also, what have you
already done for your community?

Personal Essay 2
What do you want to do in life? What are your passions, goals, dreams (can be related or
unrelated to the LGBT community). 250 words
Personal Essay 3
What are some examples of leadership you have shown in your life? Have you had any
experience being a leader in the transgender community? What about leadership
experiences in other aspects of your life? 500 words