Wisconsin Speech-Language Pathology and Audiology Association

WSHA
702 Eisenhower Drive
Suite A
Kimberly, WI 54136
(800) 545-0640
FAX (920) 882-3655
wsha@wisha.org

Nancy McKinley Scholarship

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 strengths do you bring to your intended profession?


2. Describe the extent of your financial need for this scholarship.


3. Do you qualify for the public school preference cited on the cover page?
Yes No
Please explain:


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


5. What will you do in your eventual employment setting to advocate for services for older students who have communication disorders?


6. Why should you be selected to receive this scholarship?


Please be certain to include the two letters of recommendation and your official graduate transcript with 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, 2010. Incomplete or late applications will be disqualified. Mailing Address: Wisconsin Speech-Language-Hearing Association Foundation 344 Evergreen Lane Pewaukee, WI 53072

702 Eisenhower Drive, Suite A, Kimberly, WI 54136 | FAX (920) 882-3655 | (800) 545-0640 | wsha@wisha.org