Wisconsin Speech-Language Pathology and Audiology Association

WSHA-P
1360 Regent Street, #154
Madison, WI 53715
(800) 545-0640
FAX (888) 729-3489
wsha@wisha.org

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WSHA Stanley Ewanowski
Scholastic Award

Application Form:
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Home Phone:
Email:
University:

Certification by Chairperson of the graduate program:
Name and Title of Chairperson:
Contact Phone:

Responses to the following questions will be rated together with the recommendations and grade point average to determine which applicant has excelled in clinical, academic and professional activities.

1. What are your plans for a career in Speech-Language Pathology?


2. What strengths do you bring to your intended profession?


3. What is the value of research to the clinician?


4. Why should you be selected to receive this scholastic award?


5. What professional/community service contributions have you made as a student (e.g., WSHA, NSSLHA, volunteer programs)?


Please be certain to mail the three letters of recommendation and the official transcript of graduate coursework after submitting this application. If there are questions, contact the WSHA Foundation at CSEasterling@aol.com . All materials must be received at the WSHA Foundation office on or before June 20, 2008 . Incomplete or late applications will be disqualified. Mailing Address: Wisconsin Speech-Language-Hearing Association Foundation PO Box628073 Middleton, WI 53562.

1360 Regent Street, #154, Madison, WI 53715 | FAX (888) 729-3489 | (800) 545-0640 | wsha@wisha.org