Name(Required) First Last Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Name of social work program you attend or did attend.(Required)What is the application cycle for which you would like to be considered?(Required)IMPORTANT – When submitting an application you must select the cycle below that matches your submission. Example: If submitting your application in the summer, you will only be considered for the summer cycle. Your application will not be accepted if today’s date does not match the appropriate cycle. Summer: Applications accepted May 1 – August 31 Fall: Applications accepted September 1 – November 30 Winter/Spring: Applications accepted December 1 – April 30 Exam Level(Required) Bachelors Masters Advanced Generalist Clinical Have you scheduled your exam?(Required) Yes No What date is your exam scheduled?(Required)When would you like to take your exam?(Required)How did you hear about this scholarship?(Required) Friends or Family Classmate School/Professor LEAP Website Social Media Internet Search Work or Colleague Which Social Media Site?(Required) Facebook Twitter Instagram LinkedIn What LEAP products do you think will be most helpful to you based on your learning style and needs.(Required)You can see the product listing at https://www.licensingprep.com. EssayEssay Instructions Please upload a .pdf of your essay and include your name, phone number and email address. Maximum word count for each question is 400 words. Only essays meeting these qualifications will be considered. Essay Part 1 A distinguishing characteristic of the social work profession is the value placed on self-determination. Please share how you would handle (or have handled) a situation in which your employer, government entities, etc., have a policy or position that violates an individual right to self-determination. Also, please include detail regarding the approach you would take if your client presented a choice that was in opposition to your personal choice on the given issue. How would you or have you handled this type of situation in the past? Some argue “community welfare” or “laws” are above individual rights. How does this tie in to the NASW Code of Ethics and what is your ethical obligation as a social worker and to the client? Essay Part 2 How would this scholarship help you meet your career goals and are there any special circumstances that you believe make you a better candidate for receiving this award?Upload your essay(Required)Please upload a .pdf of your essay by clicking the button below. Reminder – Your essay must include your name, phone number and email address . Maximum word count for each question is 400 words. Only essays meeting these qualifications will be considered. Accepted file types: pdf, jpg, png, Max. file size: 50 MB.For which category are you applying?Category #1: Degreed social workers who will be taking the ASWB licensing exam within the designated application period. The scholarship recipients will receive a full study package, which includes the LEAP Comprehensive Study Guide, the LEAP 6-hour video course, the LEAP online practice exam, and the LEAP test strategy course. (Value: ~ $375) Category #2: This category is for individuals who have taken the ASWB exam at least twice. This scholarship is only open to those individuals who need to take the same level exam again due to previous non-passing scores. Applicants who have taken the exam more than twice are encouraged to submit an official ASWB record for each failed attempt as this will increase the likelihood of receiving the scholarship. The recipients of this scholarship category will receive the full package listed above AND a full reimbursement for the most recent exam fee paid to ASWB (not to exceed $275). Official score reports must be submitted within the scholarship application. Category 1 – Degreed Social Workers Taking the Exam Category 2 – Degreed Social Workers with two Prior Failed Attempts Official Document from ASWB showing a minimum of two failed attemptsThis documentation must include your name, date, and exam level displayed. Upload documentation for at least two failed attempts. Drop files here or Select files Accepted file types: pdf, jpg, png, Max. file size: 50 MB. This field is hidden when viewing the formA distinguishing characteristic of the social work profession is the value placed on self-determination. Please share how you would handle (or have handled) a situation in which your employer, government entities, etc., have a policy or position that violates an individual right to self-determination. Also, please include details regarding the approach you would take if your client presented a choice that was in opposition to your personal choice on the given issue. How would you or have you handled this type of situation in the past? Some argue “community welfare” or “laws” are above individual rights. How does this tie into the NASW Code of Ethics and what is your ethical obligation as a social worker and to the client?(Required)A Gift for YouJust like you, we do not like spam messages. Please be assured that your email will not be shared with any third party and will only be used by LEAP to send you free practice questions, test taking strategies and relevant information that will help you pass the licensing exam.I would like to opt-in and receive communications with free practice questions, test tips, discounts, and other related news. Yes No thanks, I do not want free practice questions, etc. This field is hidden when viewing the formHow would this scholarship help you meet your career goals and are there any special circumstances that you believe make you a better candidate for receiving this award?(Required)You may submit your response through either: essay format (300-500 words per essay question) or a video/audio format (responses should be between 2-5 minutes) There is no preference given for format type. Link submissions are permitted if you choose video. If you submit a link to Dropbox, YouTube, Google Drive, etc., please make sure you permit us to have access. ConsentConsent(Required) I am a degreed social worker.I agree that I am a degreed social worker in the United States or will be within the next 6 months AND that I still need to pass the ASWB social work licensing exam. I understand that my award is non-transferrable and LEAP products will not be substituted for cash value.Consent(Required) I verify that I am:At least 18 years of age. LEAP does not discriminate based on race, gender, sexual orientation, religion, nationality or any other factor. LEAP also will also not tolerate discriminatory language.Consent(Required) I agree to the permission and release of information.If awarded, I give LEAP permission to use my name publicly and I understand this is necessary for the full transparency of award winner announcements. Consent(Required) I agree that I have not misrepresented myself.I understand that if I have misrepresented myself in any manner, I am immediately disqualified from scholarship consideration and subject to legal action.Consent(Required) I agree to the test strategy course requirements.I understand the LEAP strategy course is offered approximately one time every 4-6 weeks and it is a pre-scheduled, small-group course. I must choose from one of the LEAP course dates that are offered. I understand that if I am not able to attend, I waive my participation in the course, and this aspect of the scholarship benefit.Consent(Required) I agree to the privacy policy.I agree to the LEAP privacy policy and agree to receive transactional and information emails from LEAP. Consent If awarded, I give LEAP permission to use my image and likeness publicly.(this is optional)If the apply button is not displayed below, go back to the field indicating your application cycle. Make sure you are applying for the current application cycle, not a future application cycle. PhoneThis field is for validation purposes and should be left unchanged. Δ
