NHCASF Application for Student Research Award

Student Research Award Application

Applications will be judged on the following criteria:

Merits of the research project, including scientific rigor and potential application or benefit of the research
Strength of recommendation letters
Applicant’s interest in and future plans in the field of hearing loss prevention/hearing conservation
Clarity of information provided by applicant
Satisfactory academic progress in graduate studies

Required submission materials include:

Completed application form
Statement of Interest
Two letters of recommendation (sent under separate cover by each recommender) - Click to Download Letter of Recommendation Form
- NOTE: Student applicants are responsible for ensuring letters of recommendation are submitted to NHCA by or before the application deadline. Incomplete applications will not be considered.
Official transcript(s) of graduate studies
Resume (2-page maximum)
Proposed research budget (contact NHCA office for information)

PLEASE NOTE: When using 'Save and Resume', any files uploaded to the form will NOT be saved to the form. Please do not upload files until your application is COMPLETE and you are ready to push the submit button.

Name*

First Name

Last Name

Email*

Student Bio*

Please limit to 500 words maximum.

Permanent Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Country

Current Address (If same as above, leave blank)

Address Line 1

Address Line 2

City

State

ZIP Code

Country

Phone Number (Include Country Code)*

Current Graduate Program

College/University Attended*

College/University Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Major Area(s) of Study*

Degree Pursued*

Entrance Date of Graduate Program*

Anticipated Date of Graduation*

Current Graduate GPA*

Name of Primary Advisor/Mentor for Research Project*

Previous Degrees/Programs

Prior College/University Attended (1)*

College/University Address (1)*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Dates Attended From (1)*

Dates Attended To (1)*

Major Area(s) of Study (1)*

Degree Pursued (1)*

Final GPA (1)*

Prior College/University Attended (2)

College/University Address (2)

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Dates Attended From (2)

Dates Attended To (2)

Major Area(s) of Study (2)

Degree Pursued (2)

Final GPA (2)

Prior College/University Attended (3)

College/University Address (3)

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Dates Attended From (3)

Dates Attended To (3)

Major Area(s) of Study (3)

Degree Pursued (3)

Final GPA (3)

Resume

Please upload your resume (2 pages maximum).

Include any work experience, honors/awards or meritorious activities, and publications or conference presentations.

Resume*

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Title & Abstract of Thesis, Dissertation or Other Research

The applicant should provide a title and abstract of his/her proposed or in-progress thesis, dissertation or other research project (limit 750 words, not including title), using the following structure/format:

Research Objective(s)
Provide a succinct and clear research purpose, question, or objective.
Research Rationale
Provide a strong and clear rationale for the research supported by the literature or community needs.
Methods
Clearly describe the methodology, participant population (if applicable), and any statistical analyses.
Hypothesized Results and Future Work
Clearly specify the hypothesized results of the project, including alternative and null hypotheses (if applicable), and suggest directions for future research.
Importance of Work
Describe potential applications or impact of the research on the field of hearing loss prevention/hearing conservation, including the potential benefit to society at large.

What is the title of your proposed or in-progress research?*

Abstract (Add your abstract here, or you may upload a file below. Please note that your abstract cannot exceed 750 words.)*

Abstract

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Graduate Studies Transcript(s)

You must submit your official graduate studies transcript from your current graduate institution and any previously attended graduate institutions. It is not necessary to submit an official transcript from your undergraduate institution

Current Graduate Studies Transcript (Upload)*

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Previous Graduate Studies Transcript(s), if applicable (Upload)

No File Chosen

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Statement of Interest

Please type or upload a statement that describes the following (maximum 750 words):

Your interest in the field of hearing loss preservation/hearing conservation
Your future plans with respect to the field of hearing loss prevention/hearing conservation
How you intend to use the scholarship funds to advance your research (click here for permissible uses of SRA funds)
Any other information that you would like the awards committee to know as they review your application

Statement of Interest

No File Chosen

File uploads may not work on some mobile devices.

The recipient of this scholarship award will be expected to:

Please type or upload a statement that describes the following (maximum 750 words):

Your interest in the field of hearing loss preservation/hearing conservation
Your future plans with respect to the field of hearing loss prevention/hearing conservation
How you intend to use the scholarship funds to advance your research (click here for permissible uses of SRA funds)
Any other information that you would like the awards committee to know as they review your application

Please indicate your agreement to the above requirements for being considered for this scholarship award:*

I Agree

Upon hitting the 'submit form' button below, you will receive an email acknowledging your submission along with a copy of your completed application. If you do not receive this email, please contact nhcaoffice@hearingconservation.org right away.

If you have any questions regarding this application, please contact:

NHCA Scholarship Foundation

Phone: 303-224-9022

Email: nhcaoffice@hearingconservation.org