Scholarship Form

MSHA Student Scholarship Application
Michigan Speech-Language-Hearing Association
and
Michigan Speech-Language-Hearing Foundation


The MSHA Student Affairs Committee in conjunction with the MSHA Foundation, will award five $250.00 scholarships to MSHA Member graduate students in Speech-Language Pathology and Audiology at the 2013 MSHA Annual Conference, March 21-23 at the The Henry Hotel in Dearborn, Michigan.    Psi Iota Xi, the Michigan Association of the national philanthropic organization dedicated to helping others, with particular support of the speech and hearing professions, is sponsoring one award.  LinguiSystems, the nationally renowned publisher, is sponsoring four awards in support of graduate education in the Communication Sciences and Disorders professions.  To apply for one of these scholarships, please submit the requested materials:

Name:__________________________________________________________________

Address:___________________________________________________________________________

__________________________________________________________________________________

Email:________________________________________________________


Phone:  Home:(     ) ___________________Other: (     )__________________________

Present College/University:_________________________________________________

Year in program:_________ Field of Study:________________________________________________

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, as applicable


This form and supporting materials should be submitted to MSHA by February 15, 2013.

Send to:

MSHA
790 W. Lake Lansing Rd. Suite 500-A
East Lansing, Michigan  48823
517/332-5691    FAX:  517/332-5870   Email: msha@att.net
Website: www.michiganspeechhearing.org