Kentucky Speech-Language-Hearing Association » Steckol and Stanley Application Form

Applicant Name
Street Address
City
State
Zip
Cell Phone *
Email *
University Attending
Advisor
Status
Previous Degree(s) Earned
Major/Institution/Granted
Employer, if applicable
Award(s) Applying For: (You may apply for both)
KSHA's Steckol AwardKSHA's Stanley Award
Have you been a recipient of a KSHA scholarship or research grant in a previous year:
YesNo
Year Recieved
Amount Recieved
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

Steckol and Stanley Application Form