Arkansas Speech-Language-Hearing Association

ArkSHA Student Member Scholarship Application
  1. First Name(*)
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  2. Last Name(*)
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  3. Recruited or Referred by
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  4. Student Membership requires full-time enrollment in speech-language pathology or audiology. Former Student Members will receive a 10.00 discount on initial Full member dues provided they have current student membership status when they apply.
  5. Address
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  6. City
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  7. State
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  8. Zip
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  9. Phone
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  10. Email Address
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  11. School Currently Attending
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  12. Academic Degree Seeking
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  13. Estimated Date of Graduation:
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  14. Name of Program Chair or Advisor:
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  15. Submitting this application does not guarantee your membership in ArkSHA. Someone will be in touch with you within 5 days on availability and awarding of the scholarship.