{"id":205,"date":"2014-10-06T19:45:42","date_gmt":"2014-10-06T19:45:42","guid":{"rendered":"http:\/\/ksha.info\/?page_id=205"},"modified":"2026-10-02T12:12:34","modified_gmt":"2026-10-02T16:12:34","slug":"steckol-and-stanley-application-form","status":"publish","type":"page","link":"https:\/\/ksha.info\/index.php\/steckol-and-stanley-application-form\/","title":{"rendered":"Steckol and Stanley Application Form"},"content":{"rendered":"<h3><strong>Steckol and Stanley Scholarships Deadline: January 15<\/strong><\/h3>\n<p>Forms must be submitted electronically using the online form below or via email by January 15.<\/p>\n<p><strong>The minimum criteria to apply for KSHA\u2019s Steckol and Stanley Scholarships are:<\/strong><\/p>\n<ul>\n<li>Current enrollment in a speech-language pathology or audiology program<\/li>\n<li>Transcript verifying GPA (no minimum required) and program enrollment<\/li>\n<li>Evidence of academic achievement at the doctoral, graduate, or undergraduate level<\/li>\n<li>Demonstrated financial need<\/li>\n<li>Current KSHA student membership<\/li>\n<li>Clear professional goals and philosophy<\/li>\n<li>Two letters of recommendation<\/li>\n<\/ul>\n<div class=\"divider-dot\"><\/div>\n<p><strong>Required Submission Materials:<\/strong><\/p>\n<ul>\n<li>Completed application (printable or online form available below) will<\/li>\n<li>Transcript (for GPA and enrollment verification)<\/li>\n<li>Current r\u00e9sum\u00e9 outlining academic performance, work history, and relevant experiences<\/li>\n<li>250\u2013500-word essay addressing:\n<ul>\n<li>Financial need<\/li>\n<li>Professional philosophy<\/li>\n<li>Future career goals in SLP or Audiology<\/li>\n<\/ul>\n<\/li>\n<li>Two letters of recommendation from faculty on school letterhead <em>(should address financial need, academic readiness, and\/or research potential)<\/em><\/li>\n<\/ul>\n<div class=\"divider-dot\"><\/div>\n<p><strong>Award Recipient Responsibility:<\/strong><\/p>\n<ul>\n<li>Submit a short article to the <em>KSHA Communicator<\/em> describing the award\u2019s impact and how it was used<\/li>\n<\/ul>\n<p>All supporting documentation <strong>must be uploaded at the time of submission.<\/strong><\/p>\n<p>A single application will be considered for both the Steckol and Stanley Memorial Fund Scholarships. You do <strong>not<\/strong> need to submit separate forms for each.<\/p>\n<div class=\"divider-dot\"><\/div>\n<h3><strong>Choose one submission method:<\/strong><\/h3>\n<p><strong>Option 1: Printable Application<\/strong><br \/>\nDownload, complete, and email your <strong><a href=\"https:\/\/www.ksha.info\/pdf\/Stanley-Steckol-Application.pdf\">application<\/a><\/strong> with all required documents to:<br \/>\n<strong><a href=\"mailto: kshascholarship@gmail.com\"> kshascholarship@gmail.com<\/a><\/strong><\/p>\n<div class=\"divider-dot\"><\/div>\n<p><strong>Option 2: Online Application<\/strong><br \/>\n<div id=\"vfb-form-3\" class=\"visual-form-builder-container\"><form id=\"steckol-and-stanley-award-application-3\" class=\"visual-form-builder vfb-form-3 \" method=\"post\" enctype=\"multipart\/form-data\">\n\t  \t<input type=\"hidden\" name=\"form_id\" value=\"3\" \/><fieldset class=\"vfb-fieldset vfb-fieldset-1 on-line-application \" id=\"item-vfb-40\"><div class=\"vfb-legend\"><h3>On-Line Application<\/h3><\/div><ul class=\"vfb-section vfb-section-1\"><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-44\"><label for=\"vfb-44\" class=\"vfb-desc\">Applicant Name <\/label><input type=\"text\" name=\"vfb-44\" id=\"vfb-44\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-45\"><label for=\"vfb-45\" class=\"vfb-desc\">Street Address <\/label><input type=\"text\" name=\"vfb-45\" id=\"vfb-45\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-46\"><label for=\"vfb-46\" class=\"vfb-desc\">City <\/label><input type=\"text\" name=\"vfb-46\" id=\"vfb-46\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-47\"><label for=\"vfb-47\" class=\"vfb-desc\">State <\/label><input type=\"text\" name=\"vfb-47\" id=\"vfb-47\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-48\"><label for=\"vfb-48\" class=\"vfb-desc\">Zip <\/label><input type=\"text\" name=\"vfb-48\" id=\"vfb-48\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-phone  \" id=\"item-vfb-49\"><label for=\"vfb-49\" class=\"vfb-desc\">Cell Phone  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"tel\" name=\"vfb-49\" id=\"vfb-49\" value=\"\" class=\"vfb-text  vfb-medium  required  phone \" \/><\/li><li class=\"vfb-item vfb-item-email  \" id=\"item-vfb-50\"><label for=\"vfb-50\" class=\"vfb-desc\">Email  <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"email\" name=\"vfb-50\" id=\"vfb-50\" value=\"\" class=\"vfb-text  vfb-medium  required  email \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-51\"><label for=\"vfb-51\" class=\"vfb-desc\">University Attending <\/label><input type=\"text\" name=\"vfb-51\" id=\"vfb-51\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-52\"><label for=\"vfb-52\" class=\"vfb-desc\">Advisor <\/label><input type=\"text\" name=\"vfb-52\" id=\"vfb-52\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-select   vfb-left-half\" id=\"item-vfb-61\"><label for=\"vfb-61\" class=\"vfb-desc\">Status <\/label><select name=\"vfb-61\" id=\"vfb-61\" class=\"vfb-select  vfb-medium  \"><option value=\"Not Selected\" selected='selected'>Not Selected<\/option><option value=\"Full-Time\">Full-Time<\/option><option value=\"Part-Time\">Part-Time<\/option><\/select><\/li><li class=\"vfb-item vfb-item-select   vfb-left-half\" id=\"item-vfb-62\"><label for=\"vfb-62\" class=\"vfb-desc\"> <\/label><select name=\"vfb-62\" id=\"vfb-62\" class=\"vfb-select  vfb-medium  \"><option value=\"Not Selected\" selected='selected'>Not Selected<\/option><option value=\"Undergraduate\">Undergraduate<\/option><option value=\"First Year Graduate\">First Year Graduate<\/option><option value=\"Second Year Graduate\">Second Year Graduate<\/option><\/select><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-63\"><label for=\"vfb-63\" class=\"vfb-desc\">Previous Degree(s) Earned <\/label><div><textarea name=\"vfb-63\" id=\"vfb-63\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-64\"><label for=\"vfb-64\" class=\"vfb-desc\">Major\/Institution\/Granted <\/label><div><textarea name=\"vfb-64\" id=\"vfb-64\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-53\"><label for=\"vfb-53\" class=\"vfb-desc\">Employer, if applicable <\/label><input type=\"text\" name=\"vfb-53\" id=\"vfb-53\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-checkbox  \" id=\"item-vfb-55\"><label class=\"vfb-desc\">Award(s) Applying For:  (You may apply  for both) <\/label><div><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-55[]\" id=\"vfb-55-0\" value=\"KSHA&#039;s Steckol Award\" class=\"vfb-checkbox  \" \/><label for=\"vfb-55-0\" class=\"vfb-choice\">KSHA's Steckol Award<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-55[]\" id=\"vfb-55-1\" value=\"KSHA&#039;s Stanley Award\" class=\"vfb-checkbox  \" \/><label for=\"vfb-55-1\" class=\"vfb-choice\">KSHA's Stanley Award<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-radio  vfb-two-column \" id=\"item-vfb-56\"><label class=\"vfb-desc\">Have you been a recipient of a KSHA scholarship or research grant in a previous year: <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-56\" id=\"vfb-56-1\" value=\"Yes\" class=\"vfb-radio  \" \/><label for=\"vfb-56-1\" class=\"vfb-choice\">Yes<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-56\" id=\"vfb-56-2\" value=\"No\" class=\"vfb-radio  \" \/><label for=\"vfb-56-2\" class=\"vfb-choice\">No<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-text   vfb-left-half\" id=\"item-vfb-57\"><label for=\"vfb-57\" class=\"vfb-desc\">Year Recieved <\/label><input type=\"text\" name=\"vfb-57\" id=\"vfb-57\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-text   vfb-right-half\" id=\"item-vfb-58\"><label for=\"vfb-58\" class=\"vfb-desc\">Amount Recieved <\/label><input type=\"text\" name=\"vfb-58\" id=\"vfb-58\" value=\"\" class=\"vfb-text  vfb-medium   \" \/><\/li><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-65\"><label for=\"vfb-65\" class=\"vfb-desc\">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). <\/label><div><textarea name=\"vfb-65\" id=\"vfb-65\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-instructions  \" id=\"item-vfb-66\"><label class=\"vfb-desc\">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...). <\/label><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-67\"><label for=\"vfb-67\" class=\"vfb-desc\">Transcript <\/label><input type=\"file\" name=\"vfb-67\" id=\"vfb-67\" value=\"\" class=\"vfb-text  vfb-medium     {accept:'pdf|docx|gif|doc|jpeg'}\" \/><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-68\"><label for=\"vfb-68\" class=\"vfb-desc\">Resume <\/label><input type=\"file\" name=\"vfb-68\" id=\"vfb-68\" value=\"\" class=\"vfb-text  vfb-medium     {accept:'pdf|docx|gif|doc|jpeg'}\" \/><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-69\"><label for=\"vfb-69\" class=\"vfb-desc\">Essay <\/label><input type=\"file\" name=\"vfb-69\" id=\"vfb-69\" value=\"\" class=\"vfb-text  vfb-medium     {accept:'pdf|docx|gif|doc|jpeg'}\" \/><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-70\"><label for=\"vfb-70\" class=\"vfb-desc\">Recommendation Letter 1 <\/label><input type=\"file\" name=\"vfb-70\" id=\"vfb-70\" value=\"\" class=\"vfb-text  vfb-medium     {accept:'pdf|docx|gif|doc|jpeg'}\" \/><\/li><li class=\"vfb-item vfb-item-file-upload  \" id=\"item-vfb-71\"><label for=\"vfb-71\" class=\"vfb-desc\">Recommendation Letter 2 <\/label><input type=\"file\" name=\"vfb-71\" id=\"vfb-71\" value=\"\" class=\"vfb-text  vfb-medium     {accept:'pdf|docx|gif|doc|jpeg'}\" \/><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-2 verification \" id=\"item-vfb-41\" style=\"display:block\"><div class=\"vfb-legend\"><h3>Verification<\/h3><\/div><ul class=\"vfb-section vfb-section-2\"><li class=\"vfb-item vfb-item-secret\"  style=\"display:block\"><label for=\"vfb-42\" class=\"vfb-desc\">Please enter any two digits <span class=\"vfb-required-asterisk\">*<\/span><\/label><input type=\"hidden\" name=\"_vfb-secret\" value=\"vfb-42\" \/><span class=\"vfb-span\"><input type=\"text\" name=\"vfb-42\" id=\"vfb-42\" value=\"\" class=\"vfb-text  vfb-medium  required {digits:true,maxlength:2,minlength:2} \" style=\"display:block\" \/><label>Example: 12<\/label><\/span><li style=\"display:none;\"><label>This box is for spam protection - &lt;strong&gt;please leave it blank&lt;\/strong&gt;:<\/label><div><input name=\"vfb-spam\" \/><\/div><\/li>\n\t\t\t<li class=\"vfb-item vfb-item-submit\" id=\"item-vfb-43\">\n\t\t\t\t<input type=\"submit\" name=\"vfb-submit\" id=\"vfb-43\" value=\"Submit\" class=\"vfb-submit \" \/>\n\t\t\t\t<\/li><\/ul>\n\t\t\t<\/fieldset><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/205\" \/><\/form><\/div> <!-- .visual-form-builder-container --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Steckol and Stanley Scholarships Deadline: January 15 Forms must be submitted electronically using the online form below or via email by January 15. The minimum criteria to apply for KSHA\u2019s Steckol and Stanley Scholarships are: Current enrollment in a speech-language pathology or audiology program Transcript verifying GPA (no minimum required) and program enrollment Evidence of academic achievement at the doctoral, graduate, or undergraduate level Demonstrated financial need Current KSHA student membership Clear professional goals and philosophy Two letters of recommendation Required Submission Materials: Completed application (printable or online form available below) will Transcript (for GPA and enrollment verification) Current r\u00e9sum\u00e9 outlining academic performance, work history, and relevant experiences 250\u2013500-word essay addressing: Financial need Professional philosophy Future career goals in SLP or Audiology Two letters of recommendation from faculty on school letterhead (should address financial need, academic readiness, and\/or research potential) Award Recipient Responsibility: Submit a short article to the KSHA Communicator describing the award\u2019s impact and how it was used All supporting documentation must be uploaded at the time of submission. A single application will be considered for both the Steckol and Stanley Memorial Fund Scholarships. You do not need to submit separate forms for each. Choose one submission method: Option 1: Printable Application Download, complete, and email your application with all required documents to: kshascholarship@gmail.com Option 2: Online Application<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-205","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/ksha.info\/index.php\/wp-json\/wp\/v2\/pages\/205","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ksha.info\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ksha.info\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ksha.info\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ksha.info\/index.php\/wp-json\/wp\/v2\/comments?post=205"}],"version-history":[{"count":0,"href":"https:\/\/ksha.info\/index.php\/wp-json\/wp\/v2\/pages\/205\/revisions"}],"wp:attachment":[{"href":"https:\/\/ksha.info\/index.php\/wp-json\/wp\/v2\/media?parent=205"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}