OMNIE
Ohio Master’s Network Initiatives in Education

 $1000
Incentive for Speech Pathology or Audiology Students Planning Employment in Ohio Schools

 Application

Student’s Name:____________________________________________________

Address: _________________________________________________________

Phone Number____________________Birthdate:___________SSN:___________

E-Mail: _______________________________________

University: ____________________________________

            (Use additional paper if necessary)

Honors/Awards Received During Undergraduate Studies:

             Volunteer Activities/Community Involvement:
 

Extracurricular Activities (including jobs held):

 
            Applicant’s Narrative: Paragraph describing motivation for school employment

 
The following documentation must be included with this application form:
·         Two letters of recommendation
       1.  Letter from student teaching cooperating speech-language pathologist or educational audiologist
       2.  Letter from a university professor. 
·         College transcript

 Application form, letters of recommendation, and college transcript are to be sent to:
 Nada Allender, OMNIE Project Coordinator
1898 White Chapel Cir. N.W.
Uniontown, OH 44685.
Application materials must be received by October 1, 2006..

 If applicant is selected for scholarship award, written documentation of Ohio school employment must be provided.  For additional information, contact Nada Allender (nada@ameritech.net)

 Signature: ____________________________________Date: ______________