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QLN General Assistance Fund - Application Form - May 2026

I identify as LGBTQIA2+

I currently live in Texas

I am applying for myself as an individual (not on behalf of an organization)

Financial hardship means you are currently struggling to meet basic living expenses such as housing, food, utilities, or medical care. This fund is designed to provide vital support to LGBTQIA2+ individuals in Texas facing financial difficulties.

I am experiencing financial hardship at the time of this application

Have you previously received aid from the Queer Liberation Network?

Note: the total you may receive from QLN in one calendar year is $500.

How much have you received from QLN in the current calendar year (January–present)?

Please type your legal first name (used for internal documenting purposes only).

First name

Please type your legal last name (used for internal documenting purposes only).

Last name

Please let us know what you'd like to be called. If identical to your first name, please retype your first name.

Preferred name

We will use this to contact you about your application

Email address

Phone number (optional)

Reminder: QLN's funds are currently limited to queer and trans individuals in Texas.

City or town

County

ZIP code

PDF, JPG, or PNG. Max 5MB

Please upload a valid ID with proof of Texas address. This information is stored confidentially and is only used for us to confirm your identity and process this application.

Identity & Address Verification

What type of support are you requesting?

PDF, JPG, or PNG. Max 5MB

Please provide a document that shows the cost you are requesting help with. Examples: A copy of your bill, a healthcare invoice, or a receipt for prescriptions. (Photos are fine!)

File Upload

How would you prefer to receive funds if your application is approved?

I confirm that all information I have provided in this application is true and accurate to the best of my knowledge.

I understand that providing false or misleading information may result in my application being declined and may affect my eligibility for future QLN support.

I consent to QLN storing and processing my personal data for the purpose of administering this grant application. My data will not be shared externally.

I understand that submitting this application does not guarantee funding and that only approved applicants are guaranteed to be contacted with a decision by email.

Democraphic Survey (optional)

By checking this box, I acknowledge that this demographic survey is optional, all responses are used anonymously, and I can choose to not answer any or all questions on this survey.

Have you ever received financial support from QLN's Empowerment Microgrants?

How could financial support be most helpful to you?

How do you identify within the LGBTQIA2+ community?

Which of the following best describes your gender identity?

What is your race/ethnicity?

Which state do you currently reside in?

What is your approximate annual household income?

Personal Information

Pre-Screener

Eligibility

Supporting Information

Declarations

You do not need to provide documentation to apply. However, if you have a bill, invoice, or other supporting document you would like to share, you are welcome to upload it here. This is entirely optional and will not affect your eligibility.