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 Ohio Speech-Language-Hearing Association

 UNIVERSITY APPLICATION FORM OUTSTANDING GRADUATE STUDENT FOR OSLHA SCHOLARSHIP

NAME OF UNIVERSITY:_________________________________________________
 

NAME OF ONE OUTSTANDING GRADUATE STUDENT FOR OSLHA SCHOLARSHIP NOMINATION:

MAILING ADDRESS FOR STUDENT:

E-MAIL ADDRESS FOR STUDENT:

PHONE NUMBER FOR STUDENT:

 Please check that the following are included:

____ Two Letters of Recommendation by Faculty typed on Letterhead Stationary.

            (Please do not report GPA’s or GRE’s).

____ A Goal Narrative typed and written by the student nominee (minimum of 1 and maximum of 3 double spaced pages).

Department Chair Signature:____________________________________________

Return this form by January 15, 2006 to:

Carney Sotto, Ph.D.
Dept. of Communication Sciences & Disorders
University of Cincinnati
3202 Eden Avenue - # 340
Cincinnati, OH  45267 – 0379
(513) 558 – 8500 – FAX to my attention

sottocd@email.uc.edu