2018 EHDI Meeting Scholarships for LEND Audiology Trainees

Personal Information

Name: LEND Program: Year in Audiology Program: 1 2 3 4 (extern) Have you attended the EHDI meeting before? Yes No

Interest Statement

Please type your answers below each of the following questions (limit 250 words for each):

1. How will attending the EHDI Meeting help you achieve your training and career goals?

2. What are one or two sessions/meetings that you are interested in attending EHDI, and why?

3. In your own words, how does an interdisciplinary approach benefit EHDI programs and activities?

Attachments

Please make sure that the following documents are attached to your online application:  Your current resume or CV  One letter from your LEND Director or Training Director supporting your attendance at the EHDI Meeting and your application for this scholarship Presentations

Have you received confirmation that you are presenting a session at the EHDI Meeting? Yes No If “yes,” please provide the title:

Have you received confirmation that you are presenting a poster at the EHDI Meeting? Yes No If “yes,” please provide the title: Terms and Conditions

Please initial next to each of each of the following statements.

1) ____ I certify that I am a current LEND audiology trainee. 2) ____ I understand that scholarship funds will be paid by reimbursement after the Conference. 3) ____ I acknowledge that the deadline for submitting the form and all applicable receipts for reimbursement is 30 days after the conclusion of the EHDI Meeting, and that submission of forms and/or receipts after this date may result in zero payment.