UNIVERSITY OF MINNESOTA

							UNIVERSITY OF MINNESOTA
Twin Cities Campus                         Department of Speech-Language-Hearing Sciences   115 Shevlin Hall
                                           College of Liberal Arts                          164 Pillsbury Drive S.E.
                                                                                            Minneapolis, MN 55455
                                                                                            612/624-3322
                                                                                            Fax: 612-624-7586



                                Guidelines and Application Form
                           2009-2010 Robert G. Robinson Scholarships



Overview:
This fund was established by a friend of the Department, the late Robert G. Robinson. Dr.
Robinson was a Professor of Agronomy and Plant Genetics. He played a leading role in
Minnesota’s agricultural economy and was a member of several professional and honor societies.
The fund provides scholarships to outstanding students in the Doctorate of Audiology program.
The Department of Speech-Language-Hearing Sciences is pleased to announce that non-smoking, entering
Audiology students who are U.S. citizens are eligible to apply the scholarship.

Terms of Scholarship:
Scholarship awards will up to $2,000. Csilla Fekete in 115 Shevlin Hall will handle the distribution of the
awards.

Number of Awards:
Students may apply for the scholarship as soon as they have been admitted. Students are only allowed to be
recipients of the award once.

Eligibility:
Students entering the Audiology program who plan to become professional audiologists. Applicants must
also be non-smokers and U.S. citizens.

Review Process:
The Robinson/Starr Committee will review the applications. The Department Chair, Dr. Peggy Nelson, will
be consulted about the awards. Applications are due September 18, 2009.

Selection Criteria:
Eligible applications will be reviewed based on the following criteria:
      The student’s potential in the field of audiology;
      Materials submitted as part of the Au.D. application packet.
Robert G. Robinson Scholarship Application                           UNIVERSITY OF MINNESOTA
2009-2010                                            Department of Speech-Language-Hearing Sciences
                                                                        Deadline: September 18, 2009



Application Instructions:
Complete this form and submit it as an email attachment to Andy Le at slhsgrad@umn.edu
. Materials in the Au.D. application packet will be evaluated by the committee.


PERSONAL DATA, STUDENT
Name: Last             First              Middle       Telephone No.


Home Street Address                                    Student I.D. No.


City, State, Zip                                       Email address:




NONSMOKER CERTIFICATION
I certify that I have not smoked cigarettes, cigars, or pipes within the past 12 months and will not smoke in
the future.

Student Signature:                                                        Date:




EMAIL SIGNATURE AND DATE
By submitting an application, a student is affirming that the information provided in the application is
complete and accurate.

Date of Application: