Kentucky Speech-Language-Hearing Association » DEI Scholarship Application Form

On-Line Application

Applicant Name

Street Address

City

State

Zip

Cell Phone

University Attending

Advisor

Previous Degree(s) Earned

Major/Institution/Granted

Employer, if applicable

Have you been a recipient of a KSHA scholarship or research grant in a previous year:

Yes

Year Received

Amount Received

Are you currently receiving any financial aid/scholarship/grant funding? If yes, please indicate the amount, type and name of your financial aid/scholarship(s).

Upload your transcript, resume, essay and letters of recommendation. The file names should include your name and document type (e.g., Smith-Resume, Smith-Essay...).

Transcript

Resume

Essay

Recommendation Letter 1

Recommendation Letter 2

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DEI Scholarship Application Form

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