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

WSHA-P uses Adobe Acrobat PDF files for displaying important documents and forms. You can download this reader by clicking on the link below.

Risa Mari Otto 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 are your career plans and goals?


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


3. Describe your Spanish language skill level.


4. Describe what or who inspired or motivated you to join this profession.


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


Please be certain to mail the two 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 Box 628073 Middleton, WI 53562

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