Part 1 - Personal Information

Part 2 – Demographics

Part 3 - Education

Part 4 - Leadership/Community Experience

Please limit responses to 150 words.

Part 5 – Goals and Interest Areas

Please provide your reasons for participating in ISBLI and how you envision using your ISBLI skills to contribute to community life and civic engagement. Please limit responses to 150 words per response.

*Note – a “No” answer may negatively impact your application

Part 6 – References

Please provide the name and contact information of two references who can attest to your character, service, leadership, and community involvement.

First Reference:

Second Reference:

Part 7 – Payment Information

How will you pay the 2023 tuition?

All payments must be completed by December 20, 2022

If you are applying for a scholarship, you must indicate a value in the next question.

Part 8 – Code of Conduct

The ISB Leadership Institute (ISBLI) is an initiative of the Islamic Speakers Bureau of Atlanta in partnership with Kennesaw State University's (KSU) Division of Global Affairs and other industry thought leaders and practitioners. Participation in the ISBLI program is subject to the observance of the organization’s and University's rules and procedures. The activities outlined below are strictly prohibited. Any participant or program team member who violates this Code is subject to discipline, up to and including removal from the program.

  • Abusive language towards an ISBLI team member, trainer, coach, or another participant.
  • Possession or use of alcoholic beverages or illegal drugs on Kennesaw State University property and/or other program facilities.
  • Reporting to the program while under the influence of drugs or alcohol.
  • Bringing dangerous or unauthorized materials such as explosives, firearms, weapons or other similar items to Kennesaw State University or other program facilities.
  • Discourtesy or rudeness to a fellow participant, ISBLI team member, coach or trainer.
  • Verbal, physical or visual harassment of another participant, ISBLI team member, coach or trainer.
  • Actual or threatened violence toward any individual or group.
  • Conduct endangering the life, safety, health or well-being of others.
  • Failure to follow any agency policy or procedure.
  • Bullying or taking unfair advantage of any participant.
  • Failing to cooperate with any trainers, coaches, ISBLI team members, group members, or other participants.

Please make sure you have completed all fields and check for accuracy prior to pushing the SUBMIT button. Thank you.