Global Leaders Scholarship Fund Application

OVERVIEW
The Global Leaders Scholarship Fund (GLSF) invests in Utah's young leaders, ages 18-32, to enable one to attend an international conference to discuss the most pressing issues of our time. These conferences provide opportunities for you to further develop your leadership skills and create a global network of influencers. This scholarship is offered to leaders who otherwise would not be able to afford to participate in the conference due to travel expenses. The conferences are selected by a committee and you will travel with other peers from Utah universities and colleges. All travel expenses are paid for via the scholarship. To qualify for the scholarship, you must meet the financial need requirements.

MINIMUM QUALIFICATIONS
Applicants must meet ALL the following criteria to qualify for a scholarship:

● Be 18-32 years of age at the time of travel,

● Qualify for documentation necessary to travel within the United States or internationally.

● Attend a college or university or be in the process of applying to a college or university in the state of Utah, some exceptions to this requirement may be considered on a case-by-case basis

● Establish a financial need to attend the Event (income no higher than 200% of the Federal Poverty Line)

SELECTION CRITERIA
A Scholarship selection committee will measure each application against the following criteria – Youth must:

● Demonstrate leadership potential

● Establish a long-term vision of how this opportunity will change one’s life by strengthening personal, career, leadership, or engagement opportunities

● Demonstrate a connection to the broader community through service or volunteerism

● Demonstrate outstanding character – specifically, in the areas of exploring solutions to improve one’s community and a passion for involvement

● Commit to writing a final report and work with Utah Global Diplomacy resources and partners to create a short video that shares one’s Event experience

● Provide two letters of recommendation for the program

● Establishes a financial need for support

EQUAL OPPORTUNITY STATEMENT
All qualified youth are encouraged to apply, regardless of gender, creed, ethnic origin, race, or sexual orientation. Additionally, Utah Global Diplomacy and the selection committee will not give preference based on a youth’s choice of career, college or university, or location as long as the youth lives in the state of Utah.

CONFLICT OF INTEREST STATEMENT
Relatives and associates of the Global Leaders Scholarship selection committee may apply. However, the selection committee member will recuse oneself from the selection process for that particular application.

APPLICATION REQUIREMENTS
Before you complete this application, please ensure that you have the following materials ready:

● Two letters of recommendation

● Financial documentation (i.e. previous year income tax statements, FAFSA applications, or bank statements) to confidentially provide to Utah Global Diplomacy staff that verify you meet 'financial need' qualifications

Complete this form to apply for the Global Leaders Scholarship. A paper copy is also available on the Utah Global Diplomacy website.

●Verification of enrollment in Utah college or university

Please contact Madeline Pillar at madelinep@utahglobaldiplomacy.org with any questions.

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Section A: Basic Information

First Name *

Last Name *

Pronouns (Select any that apply) *

She/Her/Hers

He/Him/His

They/Them/Theirs

Other: Other:

Email *

Phone Number *

Ethnicity and Race: Select any that apply.
This question is for evaluation purposes and will not be used during the assessment of your application.

White, Caucasian, and/or European

Middle Eastern and/or North African

Black, African American, and/or African

South Asian and/or Asian American

First People, Native and/or Indigenous American

Hispanic, Latinx, and/or Chicanx

East Asian and/or Asian American

Native Hawaiian and/or Pacific Islander

Other Other

A response to the following question is OPTIONAL and not required: Do you identify as a member of the LGBTQIA+ community? This information is used only for tracking equity in opportunity. Your non-anonymized responses will only be accessible by Utah Global Diplomacy staff.

Yes

No

Section B: Address and Mailing Information

Street Address: *

Zip Code: *

City: *

State: *

Section C: Minimum Requirements

Please Note: The GLSF is happy to welcome applicants who are undocumented and recipients of DACA to apply for this scholarship. Please keep in mind that the Global Leaders Scholarship covers all costs associated with travel to a domestic or international conference or event. We plan on recipients flying either within the United States or internationally. This means that our scholarship recipients need to have the authorization to fly within the United States. It will be the responsibility of each applicant to make sure that they can fly within the United States before they apply.

How old will you be on January 1, 2023? *

What is your date of birth? * +

Academic Year Enrollment *

Are you authorized to Travel Outside of Utah? *

Yes

No

Are you authorized to Travel Outside of U.S? *

Yes

No

A requirement of the Global Leaders Scholarship is attendance at a university or college in Utah. Are you, or will you be, enrolled during the 2023-2024 academic school year? *

Yes: Full Time

Yes: Part Time

No

If you answered no the question above, please describe your educational background and career goals: *

0/700 words

Give a short explanation of why you are a part-time student *

0/700 words

Section D: School Information

Name of college or university: The college or university that you attend will not be considered as a deciding factor during the selection process. *

Other College

Are you a first-generation college student? *

Yes

No

Expected graduation year: *

What semester are you graduating in? *

Spring

Fall

Summer

What is the highest level of degree that you are currently pursuing? Choose any that apply. *

List any Major(s) / Minor(s) that you are pursuing: Don’t worry if you have not declared a major yet. Tell us about what fields interest you. *

What are your professional long-term goals? What do you see yourself doing after graduation? *

0/700 words

Section E: Financial Need

Tax Filing Dependency

Household Size

The Global Leaders Scholarship is needs-based. If you are selected as a scholarship recipient, you will be asked to provide proof of income by providing previous year income tax statements, FAFSA applications, or paystubs.

If you are younger than 24 years of age and are still declared as a dependent by a parent/guardian, their income will also be considered.

Please answer the following financial questions. Information submitted in Section E will only be used to verify financial need and will remain confidential.

The chart below will help you determine if you qualify this definition of 'financial need. Recipients' income must fall below 200% of the Federal Poverty Line to receive the scholarship.

Individual Gross Annual Income

Household Gross Annual Income

During the previous tax year, did you file as an independent or a dependent? If you are unsure or have questions, please contact Madeline Pillar at madelinep@utahglobaldiplomacy.org *

Independent Filer

Dependent Filer

Independent Financial Statement: Tell us (1) How many people are in your household? (2) What is your household’s annual gross income? *

Dependent Financial Statement: Tell us (1) How many people are in your parent’s household? (2) What is your annual gross income? (3) What is your parent’s household combined annual gross income? *

Note: Please note that all financial need documents will be kept confidential and will only be used to guarantee that the financial need requirements have been met.

Financial aid documents may include income tax returns and or W-2 statements. Proof of funds may also include bank statements, proof of government aid, FASFA statements, and/or scholarship letters. If you have any questions about how to verify your financial need please contact Madeline Pillar at madelinep@utahglobaldiplomacy.org.

Please attach proof/verification of financial need: *

Section D: Essay Question

The Global Leaders Scholarship Fund provides financial support for youth (ages 18-32), to engage in summits, events, and other opportunities that support the development of leaders who are working to create inclusive, sustainable and equitable communities for everyone. As a result of this engagement, scholarship recipients will:

Enhance their understanding of how Utah is a global community;
Deepen their knowledge of global affairs;
Develop and increase their leadership skills.

In 1-2 pages please tell us about your background, life experience, and your leadership opportunities. If you do not have a leadership experience to share, please tell us how this scholarship will ignite the leader in you?

We are particularly interested in any work you have done related to one or more of the 17 Sustainable Development Goals (SDGs) of the United Nations.

To find a list of the 17 SDGs and more information about them, please visit:

THE 17 GOALS | Sustainable Development (un.org)

In a Word Document or PDF upload your essay response *

Section E: Letters of Recommendation

Please provide two Letters of Recommendation to accompany this application. The letters can come from anyone you feel can speak to your character and experience and recommend you as a recipient of this scholarship.

Please attach the documents to the end of this application, or email digital copies to Madeline Pillar at madelinep@utahglobaldiplomacy.org with the subject line 'GLSF Application - [Your Name] Letters of Recommendation'

First Letter of Recommendation

Second Letter of Recommendation

In addition to uploading letters of recommendation, Utah Global Diplomacy is able to accept letters from individuals via email. Will your recommenders be sharing your letter via email? *

Yes

No

Recommendation #1

Recommender Name *

Recommender Email *

Recommender Phone Number

Recommendation #2

Recommender Name *

Recommender Email *

Recommender Phone Number

Section F: Student Verification

Please provide documentation that verifies you are a student at a Utah college or university. Accepted documents are;
- Student verification
- Transcript
- Screenshot of classes with name, school, and term shown

For instructions on how to attain this, please go to the document linked below
Enrollment Verification Instructions

If you are not currently enrolled at a Utah college or university but are planning to enroll in Spring 2024 please contact Madeline Pillar at madelinep@utahglobaldiplomacy.org for additional instructions and information.

For any questions, please contact Madeline Pillar at madelinep@utahglobaldiplomacy.org *

Section G: Certifications

Please affirm the following statements *

I understand that if selected as a Global Leaders Scholarship recipient, I will need to provide proof of my/my household’s annual income.

I understand that if selected I need to complete a report and a short video that shares my experience within 30 days of returning from the global event.

If selected, I agree to participate in ongoing program evaluations for up to two years following my participation with the global event so the program can be effectively measured.

I certify that the information provided on this application is true and accurate to the best of my understanding.

I understand that Utah Global Diplomacy, the Committee, or the Global Leaders Scholarship Fund is not responsible to pay taxes on the scholarship I receive. I am responsible to disclose and pay all applicable taxes accrued in association with the Global Leaders Scholarship award.

Global Leaders Scholarship Fund Code of Conduct

The Global Leaders Scholarship Fund (GLSF) Code of Conduct establishes expected behavior of potential and current scholarship applicants/recipients of awards from scholarship funds held and/or administered by Utah Global Diplomacy and the GLSF. The GLSF is looking for applicants of good character who will represent GLSF, Utah Global Diplomacy, and Utah's community well. Conduct and good moral and ethical behavior will be considered for anyone that applies for a GLSF Scholarship.

All GLSF scholarship applicants/recipients are expected to uphold high standards of conduct, which include abiding by federal, state, and local civil and criminal laws. They must also abide by the established conduct policies of their employer and educational institution. By applying for a scholarship, the applicant/recipient must self-report and gives permission for interested parties to notify a member of the GLSF Committee or Utah Global Diplomacy, at any time, if they become aware of an incident involving an applicant or recipient, within or outside of the school setting, that potentially violates the GLSF Code of Conduct Policy. The GLSF Committee reserves the right to address any conduct-related issue that occurred or occurs at any time during the student's application for or receipt of a scholarship.

The GLSF will investigate and may act with authority from Utah Global Diplomacy on information shared with the committee regarding a scholarship applicant/recipient, including conduct-related information received from anonymous sources. Potential scholarship recipients who violate these standards may be removed as a candidate for scholarship award or GLSF-sanctioned activities at the discretion of the GLSF Committee. A current scholarship recipient may have their scholarship funds forfeited if the committee finds they are in violation of their scholarship Code of Conduct Policy.

Scholarship applicants and recipients are expected to:

Maintain high standards of professional conduct and ethical conduct. Resist pressure from personal, social, organizational, financial, or political entities to use their influence inappropriately. Seek appropriate guidance and direction when faced with ethical dilemmas. Avoid letting self-aggrandizement or personal gain influence professional judgments. Carry out their GLSF duties promptly and responsibly. Remain knowledgeable about differences in culture and value orientations; and

1. In relationships with students, scholars, and others, shall:
a. Understand and protect the civil and human rights of all individuals.
b. Not discriminate, particularly based on race, ethnicity, immigration status, national origin, political opinion, religion, height, weight, sexual orientation, gender, marital status, disability, color, national origin, or age when representing the GLSF in sanctioned and non-sanctioned activities.
c. Demonstrate awareness of, sensitivity to, and respect for other educational systems. values, beliefs, and cultures.
d. Recognize their own culture and value orientations and be aware of how those orientations affect their interactions with people from other cultures.
e. Not exploit, threaten, coerce, or sexually harass others.
f. Refrain from becoming involved in personal relationships with applicants and/or recipient students and scholars when such relationships might result in either the appearance or the fact of undue influence being exercised.
g. Avoid encouraging an atmosphere of intimacy by conducting business in public whenever possible. Accept only gifts that are of nominal value and exercise judicious caution to avoid accepting gifts that seem to be intended to influence professional decisions, while remaining sensitive to the varying significance and implications of gifts in different cultures.
h. Respond to inquiries fairly, equitably, and professionally
i. Recognize the responsibility of being a citizen diplomat, representing Utah and the United States
j. Abide by federal, state, and local civil and criminal laws

2. In professional relationships, applicants and recipients shall:
a. Show respect for the diversity of viewpoints among others
b. Refrain from unjustified or unseemly criticism of others: criticism should be constructive and professional.
c. Uphold agreements when participating in joint activities and give due credit to collaborators for their contributions

3. In administering programs, applicants and recipients shall:
a. Take appropriate steps to enhance the safety and security of all participants.

4. In making public statements, applicants and recipients shall:
a. Provide accurate, complete, current, and unbiased information, and clearly distinguish, in both written and oral public statements, between personal opinions and official opinions representing the GLSF and other related organizations. *

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2024	2025
2026	2027
2028	2029 and beyond