Minnesota Academy of Audiology 2019 Gloria Gross Scholarship Nomination Application
An MAA Fellow may nominate high school senior(s) for a scholarship. A fellow may nominate more than one student. The nominee must be deaf or hard-of-hearing and planning to attend a college, university or trade school in the fall. The nominating Audiologist must submit a short essay describing why he/she is nominating this person; please complete this application. (Highly recommended to complete answers in word/google document and edit. Then, copy paste answers into form.)

Once the nomination application is completed, please share the nominated student response link with your student. The nominated student must submit two short essay questions. Completed applications should be submitted via this form.

Due date is May 31, 2019. Please allow 4-6 weeks for notification. (If unable to complete an electronic application, please print and mail to Minnesota Academy of Audiology; PO BOX 13732; Roseville, MN 55113.) Due date is May 31st, 2019.
(To be completed by nominating audiologist)

Email address *
MAA Member Name *
Your answer
Phone Number *
Your answer
Name of Nominee *
Your answer
Nominee email address *
Your answer
Please explain why you are nominating this student for the Gloria Gross Scholarship. *
Your answer
Additional space if needed
Your answer
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