Student Scholarship Application

Michigan Speech-Language-Hearing Association

  The MSHA Student Affairs Committee offers three scholarship awards of $250.00 each to MSHA Student Members in Speech-Language Pathology and Audiology who attend one of the academic programs in the State of Michigan.  One of these awards is sponsored  by Psi Iota Xi - the Michigan Association of the national philanthropic organization which is dedicated to helping others, especially in the fields of speech and hearing.  These awards will be presented at the Association Awards Luncheon, Friday, March 14, 2008 during the Annual MSHA Conference – held  March 13-15, 2008, at the Kalamazoo Radisson Plaza Hotel in Kalamazoo.  Please submit the requested materials.

 Name:__________________________________________________________________

Address:____________________________________________________________________________

 ___________________________________________________________________________________

Permanent Address:________________________________________________________

 _________________________________________________________________________

Phone:  Home:(     )___________________Other: (    )_____________________ 

Present College/University:_________________________________________________

Year in program:_________ Field of Study:__________________  

Undergraduate: /    /   Graduate: /    /

Please submit the following materials:

______resume or vita

______letter regarding your goals, why you feel this scholarship would help you,     and your career ambitions 

______ letter of recommendation from faculty or clinical faculty

______transcripts undergraduate and graduate if applicable

This form and supporting materials should be submitted to MSHA 

by February 1, 2008.                                                

                                                          Send to:

 MSHA

790 W. Lake Lansing Rd. Suite 500-A

East Lansing, Michigan  48823

517/332-5691    FAX:  517/332-5870