Need Based

ICSW Scholarship Application—Need Based Scholarship Academic Year 2018-2019 (PhD applicants: Distance Students will be given special consideration) Deadline: May 15, 2019 Date of Application:__________________________ Student’s Name:_____________________________________________________ Address:______________________________________________________________ City_________________ State ________ Zip Code _______________________ Phone Contact:________________________________________________________ Email Contact:_________________________________________________________ Requirements and Limits: 1. Students must complete an application to Master’s or PhD programs before applying for this scholarship 2. Scholarship is awarded for one year only 3. Applicant must submit FAFSA application (please note specific personal information on the applicant’s FAFSA application will not be shared with committee) 4. Applicant must submit a one-page personal statement explaining how this scholarship will help in attaining applicant’s future goals 5. Up to $5,000 for one year Checklist: o Application to Master’s or PhD Program submitted o Personal statement attached o FAFSA filled out Send applications and supporting documents to: The Institute for Clinical Social Work Attention: Scholarship Committee At The Robert Morris Center 401 S. State St. Suite 822

Chicago, IL 60605