Futures Initiatives

Empowering Tomorrow's Leaders

The Futures Initiative Program provides mentorship, peer support, and professional development for Black LGBTQ+ college students. Build your network, develop leadership skills, and prepare for your career in a safe, affirming space.

Futures Initiatives Application

Apply to join our college student mentorship and professional development program.

Personal Information

Full Name *

Email *

Phone Number *

Date of Birth

Gender Identity

Pronouns

Race / Ethnicity

Address

Street Address

City

State

ZIP Code

Household Information

Household Size

Annual Household Income

Employment Status

Additional Information

College/University Name

Enrollment Status

Year in School

Major/Field of Study

What aspects of the program interest you most?

What are your career goals?

How do you identify within the LGBTQ+ community? (Optional)

Application Details

Why are you applying for this program? *

What specific needs do you have?

Additional Information

Supporting Documents

Please submit all supporting documents:

GOVERNMENT-ISSUED DRIVER LICENSE OR ID
COPY OF UTILITY BILLS (FULL BILL REQUIRED FRONT AND BACK)
COPY OF LEASE AGREEMENT
Proof of eligibility

Click to upload or drag and drop

PDF, DOC, or images up to 10MB

I certify that the information provided is true and accurate. I understand that Evangeline will review my application and contact me regarding my request. I consent to Evangeline storing and processing my personal information for the purpose of this application.