Scholarship Submission Form Fall 2026
Please complete this form to submit your consideration for a 2025 Izzy B Foundation Scholarship. The deadline is November 30, 2025.
Applicant Information
Name
*
First Name
Last Name
Date of Birth
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Current Grade Level (as of the Fall of 2025) Applicants must be in kindergarten through their senior year of undergraduate studies in University or College.
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Name and contact information for school.
*
Personal Statement - Describe how you showcase the values of love, empowerment, inclusivity, or legacy in your life and actions. Please provide specific examples. (500 words max.)
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0/500
What is the academic or athletic-related activity this application is for? Tell us why the activity matters to you and how it contributes to your personal development.
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0/500
How do you plan to use the knowledge or experience gained from this activity to make a positive impact on others?
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0/500
Requested amount up to $1,000. (Scholarships may be awarded partial or in full, please submit full amount of request.) Scholarships are not available for reimbursement of previous payments or costs, they can be for expenses occurring through May 2026.
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Optional: Attach letters of recommendation or documentation that supports your application. Submit no more than five pages.
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Program/School/Sports Institute Information
Please provide information on where the scholarship should be paid to. The Izzy B Foundation will use this information to confirm and verify activity details.
Organization or School Name
*
Student ID
If submitting for a school, put your student ID number and/or other identifying information for the school to verify your enrollment. We cannot accept a scholarship application without this information if it's being submitted for a school.
Billing Office Contact Person
*
First Name
Last Name
Billing Office Email
*
example@example.com
Billing Office Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Billing Office Phone Number
*
Please enter a valid phone number.
Parent/Guardian Information
Please complete this section if applicant is a minor (under the age of 18.)
Name
First Name
Last Name
Relationship to applicant
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Consent
By submitting this application I consent to the use of the applicant's first name, last initial, age, likeness, and details related to their award in promotional materials and/or media or other marketing related to this scholarship by the Izzy B Foundation. I understand that by submitting this application, I am agreeing to the terms and conditions outlined, including consent for photo and name use, if selected.
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I understand that should this scholarship be awarded for this activity, I must submit photos of the activity and student by May 30, 2025. Failure to submit photos may make applicant ineligible for future scholarships.
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Please verify that you are human
*
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