2007 SHAHV SCHOLARSHIP (Deadline: May 15, 2007)
The Speech, Language and Hearing Association of the Hudson Valley (SHAHV) is a professional association comprised of local speech- language pathologists and audiologists from Dutchess, Orange, Sullivan and Ulster counties in New York State.
It is the mission of SHAHV to provide resources to speech-language pathology and audiology professionals in the above counties to facilitate optimal evaluation and treatment of individuals with communication challenges. Particularly, SHAHV is dedicated to arranging continuing education opportunities and encouraging a strong network of professionals to foster cooperative learning. The association is run by volunteers from both professions.
SHAHV is pleased to offer a $1000.00 scholarship to either an aspiring undergraduate speech-language pathology or audiology student accepted to a graduate program or a current graduate speech-language pathology or audiology student.
Applicants should meet the following criteria:
1. Senior undergraduates applying to graduate school OR current graduate students in the areas of speech language pathology or audiology (including final semester graduate students, as the award may be applied to professional fees or student loans).
2. Student’s permanent residence is in Dutchess, Orange, Ulster or Sullivan County
-OR-
The student is accepted to or currently attending the Communication Disorders Graduate Program at SUNY New Paltz.
3. Must be a SHAHV associate (student) member.
The scholarship will be awarded based on leadership, community involvement, clinical experiences (weighed heavier for graduate applicants), an essay, academic performance, and additional experiences. The scholarship recipient will be notified by the end of May. The winner will be presented with the scholarship at the SHAHV Annual Members Dinner in June 2007.
How to apply: X when complete Complete this application form…………………. _____ Include unofficial transcript(s)………………….. _____
Include membership form and fee if applicable _____
Undergraduate students: Include two letters of recommendation………………………... _____
Graduate students: Include one letter of recommendation with an academic focus and one with a clinical focus preferred………………………. _____ (Two academic recommendations acceptable if no clinical experience)
Mail a single packet including ALL items by May 15, 2007 to:
SHAHV Scholarship c/o Michelle Eckert 163 Rabbit Run Rd Clintondale, NY 12515
For additional information or questions, please contact Michelle Eckert at [email protected] .
2007 SHAHV SCHOLARSHIP APPLICATION NAME: Last:______First:______M.I.: ___
PERMANENT ADDRESS:______
______
CURRENT ADDRESS: ______
______
PHONE: _(___)______(___)______Local Permanent
SOCIAL SECURITY NUMBER: ______
UNDERGRADUATE COLLEGE/UNIVERSITY: ______B.A. or ___ B.S.
Graduate Date (conferred or expected): ______
GRADUATE COLLEGE/UNIVERSITY: ______M.A. or ___M.A.
Graduate Date (conferred or expected): ______
SHAHV Associate (student) Member: ___Yes ___No, Application & fee ($10.00) enclosed.
(Please attach additional sheets if necessary)
I. Pre-Professional Involvement Leadership (10 points) Scoring of pre-professional involvement/leadership is based upon membership in speech- language and hearing organizations and/or support groups, participation on committees, elected offices, or other leadership roles outside the field of speech-language and hearing. Please list and describe below:
II. Community Involvement (10 points ) Scoring of community involvement is based upon volunteerism, employment, and membership in community groups or clubs. Please list and describe below:
III. Clinical Performance/Experience (20 points) Scoring of clinical performance/experience is based upon clinical references, awards, and achievements and experiences in clinical settings. Changing regulations in this area are taken into consideration. Please list and describe below:
IV. Academic Performance (20 points) Scoring of academic performance is based upon your transcript(s), academic letter(s) of recommendation and additional information listed below including academic awards and nominations, independent studies, and any other achievements. Please list and describe below:
V. Additional Experiences (10 points ) Scoring of this section is based upon any other circumstances, experiences, traits or qualities which you feel would reflect positively on your application: VI. Essay (30 points total- 10 points each for clarity, content, and grammar) Please submit no more than two double spaced typed pages on the topic stated below:
Why did you decide to pursue speech-language pathology or audiology as a career?
SCHOLARSHIP AGREEMENT I understand that my application and supporting information becomes the property of SHAHV, and they shall have discretionary authority in all matters pertaining to this award. I further understand that this award is taxable in the United States (recipients from other areas should check their local tax laws). I certify that the information in this application is complete and accurate to the best of my knowledge, and I will notify SHAHV if there are any changes. I understand that payment of this award is contingent upon verification of enrollment in an approved graduate program and will be paid directly to the recipient. I have read and hereby accept the conditions, rules and regulations of this application and I agree to accept the decision of the judges as final.
Signature: ______Date: ______
GOOD LUCK!!!!!!
2007 SHAHV Membership Application SPEECH - LANGUAGE AND HEARING ASSOCIATION OF THE HUDSON VALLEY Name: ______First Last Please print your name as you would like it to appear in the membership directory.
Mailing Address: ______
______
Home Phone: ______Business Phone: ______
Email address: ______Used for SHAHV communication purposes only
The SHAHV Membership Directory is available to SHAHV members only. CHECK THE BOX ABOVE IF YOU DO NOT WANT YOUR INFORMATION LISTED IN THE MEMBERSHIP DIRECTORY.
Place of Employment: ______
Primary ages of Clients: ______Work Site: ______(EI, PreS, Elem, Adults) (Schools, Hospitals, Private)
Certification/license ASHA NYS Licensure NYS Certification (Circle all that apply) CCC-SLP Speech Pathology Teacher of Speech and HH/TSSLD CCC-A Audiology Perm or Prov Teacher of the Deaf Perm or Prov
Professional Affiliations: ASHA Special Interest Div #____ AAA NYSSLHA NSSLHA
______Member $25 ______Associates/Student Member $10
Please send application and check made payable to: SHAHV SHAHV, PO Box 188, Wallkill, NY 12589
For office use only: CHECK #______CHECK DATE:_____ Amount: ______
____YES, I am available to help on a committee!! ___Legislative Committee: Assists the Past President in organizing Lobby Day and other legislative activities.
___Program Committee: Assists the Vice President in organizing workshops and monthly meeting activities.
___Membership Committee: Assists the Secretary in membership recruitment and membership drives.
___Public Information Committee: Assists the Treasurer in organizing public relations and “May is Better Hearing and Speech Month” activities.
___Newsletter Committee: Assists the Newsletter Editor in the development and distribution of the newsletter.