2027 TSHA Graduate Student Representative Application Survey

1.Your Information(Required.)

Full Name

University Attending

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

2.Year in School(Required.)

3.Anticipated Date of Graduation(Required.)

4.Degree(s) to be Earned(Required.)

5.Are you a TSHA Member(Required.)

Yes

6.Are you a Local NSSLHA Member?(Required.)

Yes

7.Are you a National NSSLHA Member?(Required.)

Yes

8.Please provide 1-2 references that TSHA may contact related to your application. Please also describe your relationship to the individual (example: program faculty).

Reference 1 Name:

Reference 1 Email:

Reference 1 Phone:

Relationship to Reference 1:

Reference 2 Name:

Reference 2 Email:

Reference 2 Phone:

Relationship to Reference 2:

Required Video Portion of Application

As part of your application, we request you to submit a video response as outlined below. Please record and submit your video via the following portal: https://smithbucklinvoices.gv-one.com/requests.html?gId=2577&rId=19163.

Please start your video by introducing yourself and share your answers to the following two questions:

What do you hope to gain from your time of service with TSHA?
What do you think is the primary issue facing students enrolled in SLHS programs currently?

Then, please select (1) one of the following (4) four questions and submit a response: Options:

Tell us about previous leadership positions you have held. What was your role?
What qualities do you have that might be beneficial if you are selected for this position?
What sparked your interest in joining an organization dedicated to improving the field for all things speech, language, and hearing?
What ideas do you have to get more students involved in TSHA?

Please note that maximum length of your video response is 5 minutes. For questions on your application, please contact staff@txsha.org.