CERTIFICATION
In submitting this application, I hereby certify the following:
1. I have a desire to attend the 2025 NBASLH Convention.
2. I am a full-time undergraduate or graduate student in Speech, Language, and Hearing Sciences (SLP, AuD, etc.).
3. I am in good academic standing at my college/university.
4. I identify as Black or African American.
5. I will attend the 2025 NBASLH Convention in-person.
6. I hereby certify that all of the information I have provided within the entire application is true and correct to the best of my knowledge. I understand that if any information submitted with the application is determined to be false or misleading (including any omission of material information), I will be disqualified from consideration for the award.
Finally, I give consent to allow Roundtree Group, PLLC and Talking Tadpoles Pediatric Therapy, LLC use my photograph (or other likeness), video, or statements for publicity purposes, which may include, but is not limited to, publication in newsletters, brochures, social media platforms, and the Roundtree Group and Talking Tadpoles websites.
www.talkingtadpoles.com
www.roundtreegroup.org