Elizabeth Jacob Scholarship June 10

ICSW Scholarship Application Elizabeth Jacob Scholarship Academic Year 2019-2020 Deadline: June 10, 2019 (For PhD Students Only: Submit application along with faculty nomination letter) Date of Application:__________________________ Student’s Name:_____________________________________________________ Address:______________________________________________________________ City_________________ State ________ Zip Code _______________________ Phone Contact:________________________________________________________ Email Contact:_________________________________________________________ Requirements and Limits: 1. Student must be a full-time PhD Student nominated by faculty.

2. Scholarship is awarded for one year only.

3. Student must have completed one year of academic work and demonstrate excellence.

4. Student must work with families challenged by poverty and/or immigration.

5. Student must submit FAFSA application (please note specific personal information on the applicant’s FAFSA application will not be shared with committee).

6. Up to $3,000 for available for one year.

Checklist: o Faculty nomination letter submitted to Academic Dean along with application. o Nomination reviewed by committee. o FAFSA filled out.

Guidelines:  Send applications and supporting documents to: scholarshipcommittee@icsw.edu OR The Institute for Clinical Social Work Attention: Scholarship Committee 401 S. State St. Suite 822, Chicago, IL 60605