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Student Volunteer Form

Student Volunteer Application
IMPORTANT: Checks in the amount of $180 will be mailed to student volunteers immediately following the Convention. Please indicate (below) the address you would like your check mailed to.

 
First name 
Last name 
Address 
Address 
City 
State  
Zip 
Country 
Phone 
Email 
University  

Are you a NSSLHA or NAFDA member?
  
NSSLHA Member
NAFDA Member
I am not a member of NSSLHA or NAFDA
Major or area of study (check all that apply)
  
SLP
Audiology
Hearing Science
Communication Science
Other
Any special areas of interest (this will be used to determine which sessions you will monitor)
  
Please indicate any days you CANNOT work
  
Thursday, November 20
Friday, November 21
Saturday, November 22
Please provide a 200-word explanation of why you would like to volunteer to work at the ASHA Convention
  
 
Words remaining:
Have you volunteered at a past ASHA Convention?
   Yes
No
If yes, what year(s)?