Indiana Hands & Voices Scholarship Application
Scholarship open to all Indiana residents who are deaf and/or hard of hearing who are currently enrolled in or plan to attend an college or university for the 2019 – 2020 school year. Chosen applicant will be awarded a one-time $500 scholarship.

Application DEADLINE March 25th, 2019
Winner will be notified in April 2019
*Winner must attend Indiana Hands & Voices Polo Event Fall 2019

Email address *
Student Information: Full Name, Home Address, Phone, Student Email *
Your answer
Parent(s) Information: Address, Phone, Email *
Your answer
High School Information: Name of High School, Year of High School Graduation, GPA and Class Standing *
Your answer
High School Experience: Honors Received, Activities, Work History *
Your answer
College/University information: School Name to be attending, School Address *
Your answer
ESSAY: Please type or copy/paste your essay here indicating why you believe that you should receive this scholarship. Essay should include how being deaf/hard of hearing has impacted you, why you chose your major, how you will achieve your current and future goals and how you intend to give back to your community post-graduation. *
Your answer
Audiogram: Description of Hearing: degree of hearing loss, any technology used *
Your answer
Please email your current audiogram to *
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