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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The Judith H. & David J. Ward 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. Describe your interest in and what or who motivated you to choose this profession.


2. Why would you like to work in the schools?


3. What strategies do you bring to the profession?


4. What professional/community service contributions have you made as a student?


5. Why should you be chosen 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