Online Application Form


OSHA Graduate Scholarship Application

Oklahoma Speech-Language-Hearing Association
Graduate Scholarship Application

Please complete all portions of this application and include all requested items. Incomplete applications will not be considered.

ELIGIBILITY:

Applicant must be a full-time doctoral or masters student in one of the ASHA CAA-accredited graduate programs in Oklahoma, majoring in speech-language pathology or audiology.

Undergraduate seniors entering graduate school in the summer or fall 2021 must submit a copy of their graduate school acceptance letter (or a letter from your department chair indicating your acceptance) into one of the graduate programs in the state. (Attach letter within the form below.) 

 


Applicant Information

Applicant Name: *
Full Mailing Address (Address, City, ST and Zip Code): *
Email Address: *
Phone Number: *
University where you are attending (or will attend) graduate school: *

Academic Qualifications (10% of total score)

Undergraduate GPA: *
Cumulative Undergraduate and Graduate GPA: *
Transcripts are required (10% of total score). Please provide a hyperlink to your university's portal for checking transcripts.: *
If you are a senior undergraduate who has been accepted into a qualifying graduate school program for summer or fall 2021, please attach a copy of your school's acceptance letter, or a letter from your department chair indicating your acceptance.:
(Valid File Types: bmp,csv,doc,docx,eps,gif,jpeg,jpg,mfp,pdf,png,ppt,pptx,rft,swf,tif,txt,xls,xlsx | Maximum File Size : 10.0 MB)

Pre-Professional Activities and Volunteerism (30% of total score)

Briefly describe your undergraduate and graduate involvement in pre- professional and volunteer organizations. On a separate page, please list all activities and dates of involvement. (30% of total score): *
(Valid File Types: bmp,csv,doc,docx,eps,gif,jpeg,jpg,mfp,pdf,png,ppt,pptx,rft,swf,tif,txt,xls,xlsx | Maximum File Size : 10.0 MB)

Career Objectives and Interests (40% of total score)

Provide a statement of career objectives and professional interests in no more than 500 words. (40% of total score): *
(Valid File Types: bmp,csv,doc,docx,eps,gif,jpeg,jpg,mfp,pdf,png,ppt,pptx,rft,swf,tif,txt,xls,xlsx | Maximum File Size : 10.0 MB)

Letters of Recommendation (10% of total score)

  • Letters must be written by individuals who are familiar with the applicant's academic or clinical work.
  • At least one letter must be written by a current member of OSHA.
  • Reference letters must be emailed directly to Dr. Debbie Earley at DebbieE@health.ok.gov or billdebe@sbcglobal.net.
Name of Writer of Reference Letter 1: *
Is the writer of Reference Letter 1 a member of OSHA?: *
Yes
No
Name of Writer of Reference Letter 2: *
Is the writer of Reference Letter 2 a member of OSHA?: *
Yes
No

Financial Need (10% of total score)

Write a brief statement of financial need. Include information regarding how the scholarship award money would be used to further the applicant's career objectives.: *


Awardees will be notified prior to the fall OSHA Conference.  The manner by which the awardees will be presented the award will be determined based on the current COVID restrictions.

For questions, please contact Dr. Debbie Earley at (405) 650-7475 or billdebe@sbcglobal.net.

Remember: Letters of Reference should be sent via email to DebbieE@health.ok.gov or billdebe@sbcglobal.net, with the applicant's name in the subject line, by July 31, 2021.