Scholarship Application

You may begin your application, save it and return to the application and resume work on the application if you follow the following steps.

Click the “Save and Continue Later Button” at the bottom of the form.
You will see a custom link. Copy and save this custom link and use it to return to the form at anytime within 30 days to continue work on the form.
There is also an option that will allow you to email the custom link to yourself so that you can easily save the custom link. Without the custom link, you cannot come back to the form to continue work on the scholarship application.
All work on the application must be completed within 30 days of when you saved the form.

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)

Summer: Applications accepted May 1 - July 1

Fall: Applications accepted October 1 - December 1

Winter/Spring: Applications accepted February 1 - April 1

Exam Level(Required)

Bachelors

Masters

Advanced Generalist

Clinical

Have you scheduled your exam?(Required)

Yes

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

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.

Which scholarship are you applying for?(Required)

Single parent; head of household

Economically challenged with annual household earnings below $40,000 for two (2) consecutive years

Open category

Essay

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?(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)

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?(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.

Consent(Required)

I verify that I am:

At least 18 years of age.
If I am applying for a scholarship that requires verification of tax status or income, I will provide a copy of my full tax returns for two years. This will be provided to LEAP and destroyed immediately after edibility is verified by LEAP.
I meet all the eligibility requirements outlined throughout this document

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

If awarded, I give LEAP permission to use my image and likeness publicly.

(this is optional)

Phone

This field is for validation purposes and should be left unchanged.