Leo Taub Scholarship Application

Continuing EducationLeo Taub Scholarship Application

All fields marked with an asterisk are required.

Name Name * First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number Phone Number - ### - ### ####
Email *
Gender *

Gender Male Female
Date of Birth Date of Birth * / MM / DD YYYY
Semester *

Semester Spring I Spring II Summer Fall I Fall II
Do you have or need a student visa (F-1)? *

Do you have or need a student visa (F-1)? Yes No

If you have or need a student visa (F-1), you will need to contact the international student office upon acceptance.
** F-1 student only
Please upload a copy of your passport.
(Must be valid for 6 months)

Maximum file size: 3MB.

Attach Files
Have you ever taken a class with IELI before? *

Have you ever taken a class with IELI before? Yes No
Please let us know why you believe you should receive the Leo Taub Scholarship. Please let us know about your reasons for wishing to learn the English language, how you go about doing so outside of the classroom, if at all, and any progress you might recently have made. Please let us know about any financial hardship you may be experiencing, and any circumstances relevant to it, such as your family situation, personal history, job history, etc. If there are any additional reasons why you believe you should receive the scholarship, please let us know.

Please prepare a two-page personal statement. Your statement format is: typed with one inch margins, top, bottom and sides; name in the top right-hand corner; Times New Roman font; 12 point; double-spaced; two pages maximum. Your application will be evaluated on the basis of content and accurate use of language (grammar, spelling, punctuation, and format).

Please upload your personal statement here (in Word or PDF format). *

Maximum file size: 3MB.

Attach Files
Your most recent 1040A tax return form; notarized letter from employer verifying income; proof of any unemployment benefits or Social Security benefits (F-1 international students, please disregard)

Maximum file size: 3MB.

Attach Files
I certify that I have read and understand all instructions accompanying this application and have answered all questions truthfully and to the best of my knowledge. I certify the information provided on this application is complete and correct and that the personal statement has been written by me.
Signature *

Leo Taub Scholarship Application

Continuing EducationLeo Taub Scholarship Application

I certify that I have read and understand all instructions accompanying this application and have answered all questions truthfully and to the best of my knowledge. I certify the information provided on this application is complete and correct and that the personal statement has been written by me.