Student Convention Scholarship Fund Registration Form

MSHA offers scholarships to audiology and speech-language pathology students to attend the Annual Convention. The scholarship covers the registration fee and two nights of lodging.

To be eligible for the scholarship, students must:

  1. Have active MSHA membership.
  2. Volunteer at least 3-5 hours during the Convention.
  3. Attend the President’s Luncheon on Saturday afternoon during the convention.

Must be submitted No Later Than February 15.

University Name:
SLP or AUD Program:
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 President's Luncheon?

Terms and Conditions: By submitting the above information, I affirm that I am an active MSHA member and agree to volunteer at the Convention and attend the Presidentís Luncheon. Should I not meet these requirements, I understand that my eligibility and award of scholarship will be revoked.

Questions:  Contact the MSHA Office at 1-888-729-6742 or

©2010 Missouri Speech-Language-Hearing Association | All rights reserved.
Missouri Speech-Language-Hearing Association
2000 East Broadway, PMB 296
Columbia, MO 65201-6009
1-888-729-6742 | 1-888-729-3489 (fax)