NSSLHA SCHOLARSHIP National Collegiate Leadership Conference February 12-14, 2016 The University of Arizona provides the resources for students at all levels to gain and expand their leadership skills. This year the National Student SpeechLanguage- Hearing Association will sponsor several club members to attend the National Collegiate Leadership Conference in February 2016. The National Collegiate Leadership Conference is an annual student-run conference that serves as the cornerstone of the leadership experience. Each year over 600 participants from universities and colleges in over 20 states attend NCLC. Learning leadership and communication skills in this conference will be of great experience for your future endeavors within school, jobs and on a day-to-day basis. NSSLHA recognizes the importance of leadership, especially at the undergraduate level, our field of study, and in our club. NSSLHA is offering this chance to apply to all club members who are interested in leadership development and need assistance in covering the cost of the event. There will be several fully funded winners that will be expected to attend the event from February 12-14th. The total cost for the event is $70 per person, but there is a waiver that is being offered for early registration by December 10th. Therefore, there will be no adjustments in deadlines. Eligibility Criteria: ● Scholarship recipient must be a current NSSLHA member. ● NSSLHA member must be enrolled as a full time student at the University of Arizona. We greatly encourage and promote that students remain involved and participate in events that will improve their undergraduate career and benefit them in their academics. If you would like to attend the event without the aid of NSSLHA, please follow this link below to get details on how to attend. http://leadership.arizona.edu/national-collegiate-leadership-conference Scholarship Applications are DUE by NOVEMBER 30TH by 4pm in the NSSLHA mailbox in SLHS 220 Contact Information: Full Name: (Type Legibly) Address: City, State, Zip: Phone: University Email: School Year: & Age (At Time of Conference, Feb. 12-14, 2016) Cost of event: Circle one: Freshman Sophomore Junior Senior Other: (specify) Age: Are you able to pay for half of cost event? (Estimated $15-$20) Yes No Please answer the following questions on a separate sheet with this application. 1. Why do you want to attend the NCLC and what do you expect to gain from attending the conference? 2. How will you use this new knowledge in your undergraduate activities or in your job? For registration & scholarship eligibility include the following information: -T-shirt Size: ________________________________ -Dietary Restrictions:________________________________ (For Example: Allergies, Vegetarian, Kosher,etc.) -Accessibility Accommodations Deadlines: ●Late applications will not be considered. Only completed applications will be considered. ●Scholarship decisions will be emailed no later than 1 week after the deadline. Please submit your completed application to the NSSLHA mailbox in SLHS room 220 by November 30, 2015 no later than 4pm. Disclaimer: I have read all of the information and requirements contained in this application and agree to abide by them. I acknowledge that all of the information is original and true to its full extent. I understand that I will represent the Speech, Language and Hearing Sciences department at the University of Arizona and will continue accordingly. Signature Date