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Student Convention Scholarship Fund Registration Form

MSHA will offer nine (9) Student Convention Scholarships good for free registration and two night’s lodging for the 2013 MSHA Convention scheduled for April 1–13 at Tan-Tar-A Resort in Osage Beach, Missouri.

You must be a MSHA member to be eligible.  If you are not a member or have not renewed your membership, you can do so online or mail a membership form to Central Office.

Scholarship winners will be required to volunteer at least 3-5 hours at the Convention. Winners are also required to attend the President’s Luncheon. All Entries Must Be

Submitted No Later Than February 21, 2013.

Name:
Street:
Cit/State/Zip:
Email:
Phone:
University Name:
MSHA Member:
 
If you are the receipient of this scholarship, are you wiling to Voluneteer at least 3-5 hours at the Convention:
 

If you are the receipient of this scholarship, will you attend the Presiden'ts Luncheon?

Questions:  Contact the MSHA Office at 1-888-729-6742 or msha@showmemsha.org

 
 
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Missouri Speech-Language-Hearing Association
2000 East Broadway, PMB 296
Columbia, MO 65201-6009
1-888-729-6742 | 1-888-729-3489 (fax)
msha@showmemsha.org