Commitment to Action form

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JOIN OUR COMMITMENT TO ACTION:
EMERGENCY SUPPORT FOR STUDENTS FROM SYRIA
The crisis in Syria has created an academic emergency, with the break-down of higher education within the
country and major obstacles facing Syrian students and scholars who are studying or teaching outside of Syria.
There is an urgent need to provide emergency assistance to these students and scholars to enable them to
continue their academic work in safe haven countries until they can return home to help rebuild their country.
IIE, in collaboration with Jusoor and the Illinois Institute of Technology (IIT) have announced a Commitment to
Action at the 2012 annual meeting of the Clinton Global Initiative that includes providing emergency grants to
students whose education has been interrupted by the crisis, and to scholars whose lives are threatened in Syria.
Join the Commitment: A core component of our Commitment to Action is to build a consortium of universities
and colleges around the world who will offer scholarships to assist threatened Syrian students, with a goal of 50
new scholarships in the next year. IIE also calls upon Colleges and Universities to help provide emergency support
to Syrian students already on their campuses who need assistance and to host threatened Syrian scholars on their
campuses. Colleges and Universities interested in providing such support may be eligible for grants from IIE’s
Emergency Student Fund and/or Scholar Rescue Fund.
To join the consortium, please complete the Commitment to Action form below and submit to
SyriaESF2012@iie.org. For questions, please e-mail Daniel Obst at dobst@iie.org.
___________________________________________________________________________________________
IIE Higher Education Consortium for Emergency Support to Syria:
Contact information for your main institutional representative below:
Name:
Title:
Institution:
Country:
Email:
Consortium Agreement:
My institution will provide scholarship(s) or tuition waivers as follows:
Number of full scholarships/waivers: ________________ Estimated total $ value: ________________
Number of partial scholarships/waivers: _____________ Estimated total $ value: ________________
Other support: _______________________________________________________________________
My institution is willing to host a scholar/professor with Fellowship support from IIE’s Scholar Rescue Fund.
Individuals and organizations are also encouraged to contribute to IIE’s Emergency Student Fund.
I will contribute $_______________ to IIE’s Emergency Student Fund.
Name/Title:_________________________________________________________________________________
Signature: ___________________________________________
Date: ___________________________
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