2019 Scholarship Application

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Please complete this form in order to apply for one of two $500 SHAA Scholarships.

First Name *
Last Name *
I will be able to attend the SHAA Convention Dinner at 6:30 pm on Thursday, Feb. 14, 2019, at the Hyatt Regency - Wynfrey Hotel, Birmingham in order to receive my scholarship check. Two free dinners will be provided for each winner and a guest. *

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Street Address *
City *
State *
Zip Code *
Email *
Phone where you can most easily be reached *
I am a graduate student in the field of *

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School where you will receive your advanced degree *
Year you expect to graduate *
Current GPA *
Previous Education (list all colleges or universities attended, which years you attended, degree awarded, and your field of study) *
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List any scholastic awards you have received
(Maximum characters: 1000)
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How do you plan to give back to the community? Please note how you plan to utilize SHAA to do this. (If you need more space, use the next box on the form.) *
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Giving back (continue, if necessary)
(Maximum characters: 500)
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What are your current career plans? It's understood that these may change in the future. *
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