New Scholarship form 2022

CHHA Scholarship Program

If you have any questions, please reach out to us by email scholarship@chha.ca. or toll free phone 1-800-263-8068 (Canada Only) or 1-613-526-1584.
Preface

Scholarship Recommendation Letter

A letter of recommendation is a document in which the writer assesses the qualities, characteristics, and capabilities of the person being recommended in terms of that individual's ability to perform a particular task or function. They are typically related to employment, admission to post secondary, or scholarship eligibility and can be written by a supervisor/colleague/ teacher/professor/boss/mentor. The letters are usually specifically requested for a precise event and are therefore addressed to a requester.
- Must be current and dated
- Must be signed and if applicable on letterhead
- Not exceed 2 pages
- Cannot be from your immediate family or anyone living in the same household.
Mature Student

A mature student is defined as a student who is 18 years or older and has not attended a post-secondary institution for at least 1 year and is enrolled or planning to register in the fall for a full-time program.

Continuing Education

A mature student that is returning from employment to continue their education in a certified college/university program to finish their diploma or pursuing an additional degree (professional and graduate programs).

Extending School

A student who is continuing their education through post-secondary learning activities and programs, A person who has completed their undergrad and interested in pursuing a graduate degree right afterwards. Name and dates of employment

Document Requirements

PDF is preferred however we also accept pdf, doc, docx, html, zip which cannot exceed 2048 KB. All submitted documents must be clear and ledgable.

Science, Technology and Skilled Trades

Science is the intellectual and practical activity encompassing the methodical study of the structure and behaviour of the physical and natural world through observation and experiment.

Examples of Science fields but are not exhaustive:

Chiropractor
Dentist
Lawyer
Medical Laboratory Technologist

Occupational Therapist
Optometrist
Pharmacist
Physician

Physical Therapist
Registered Nurse
Respiratory Therapist
Veterinarian

Technology is defined as the application of scientific knowledge for practical purposes, especially in industry . Sometimes applying scientific knowledge means using less of what we traditionally think of as technology.

Examples of Technology fields but is not limited to :

Data Scientist
Software Developer
Information Security Analyst
Computer Systems Analyst

Web Developer
Sales Engineer
Computer Research Scientist
Information Technology Manager

Skilled trades is a career path that requires hands-on work and specialty knowledge. Ther is 4 main categories that are encompassed.

Career choices in each catagory but are not all inclusive:

1. Construction

Carpenter
Heavy Equipment Operator
Construction Electrician
Painter and Decorator
Plumber
Welder

2. Manufacturing

Machinist
Mobile Crane Operator
Tool and Die Maker
Industrial Electrician
Metal Fabricator (Fitter)

3. Transportation

• Automotive Painter
• Motorcycle Mechanic
• Heavy Duty Equipment Technician
• Heavy Equipment Operator

4. Service

Baker
Hairstylist
Landscape Horticulturist
Cook
Appliance Service Technician

CHHA SCHOLARSHIP Application

Please select the scholarship(s) you are applying for. You must select at least 1 and no more than 5 on the same application. Only one submission is necessary
Please select the scholarship(s) you are applying for. You must select at least 1 and no more than 5 . You can make multiple sections on the same application therefore you only need to submit one form.*

HELEN ALLEN STACEY MEMORIAL SCHOLARSHIP $1500

The scholarship is for students in any of the following fields: Early Childhood Education, Personal Support Worker, Nursing, Medicine (Doctor), or Journalism. It is renewable for up to 3 years, contingent upon satisfactory grades.
SUSAN BROWN MEMORIAL SCHOLARSHIP $2000

This scholarship is offered to students entering their first-year, full time program with the ultimate goal of obtaining a diploma.

CARRELL HEARN MEMORIAL SCHOLARSHIP $1000

This is open to all post secondary students; however, your location of residence maybe factored into the selection process.
DR. CHARLES A. LASZLO SCHOLARSHIP $2000

Scholarship is open to students who are second year and higher and enrolled in the study of science and technology. In addition you must display an interest in supporting activities to improve the lives of those who have hearing loss.FRANK ALGAR MEMORIAL SCHOLARSHIP $1000

This scholarship is open to all post secondary students however the advocacy level of the applicant is taken into account.
YOUNG ADULTS NETWORK SCHOLARSHIP $1000 (2 offered each year)

This is offered to a continuing or extension education student who is returning to school after completing an undergraduate degree or returning to school from employment to pursue their schooling.
Name of current employer (only if applicable)
Please note you do not have to fill in this section if you are not working.
First day worked

MonthDayYear
Last day worked (if applicable)

MonthDayYear
Leave blank if you are still working while going back to school

SECTION 1: Personal Information
Name*

First NameLast Name
Birthday*

MonthDayYear
mm/dd/yyyy
Age
E-mail:*
Phone Number/ Cell / TTY*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Gender :*

SECTION 2: AUDIOLOGICAL INFORMATION

A recent audiogram that is no more than 18 months old and must be provided in order to authenticate your degree of hearing loss and eligibility. You will be required to add it at the end of this section.
I consider myself to be :*

Hard of Hearing

A person with any level of hearing loss, whether mild to profound, whose primary method of communication is the spoken language.

Deafened

A person with a profound level of hearing loss acquired in adulthood (hearing loss occurred after learning oral communication)

Oral Deaf

A person with a profound level of hearing loss, occurring congenitally or with an onset early in life, whose primary method of communication is the spoken language.
How old were you when hearing loss was diagnosed:*
What was the cause (if known)? check one*
If you selected Other, please describe (maximum 300 words):

0/300
Do you wear hearing aids and if so how many?
If you wear a cochlear implant, is it unilateral or bilateral?
When did you receive it?
Do you have any other disabilities in addition to your hearing loss?*

YesNo
If yes, please describe the nature of this disability(you may select more than one):
If you selected Other, please describe (maximum 300 words):

0/300
Audiogram
Upload your signed and dated audiogram that is no older than 18 months *

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SECTION 3: CLASSROOM ACCESSIBILITY NEEDS
Please explain how you address your hearing loss in the classroom, outlining any accommodations you requested and received (assistive devices, note takers, preferred seating, etc.) (maximum 500 words).*

0/500

SECTION 4: EDUCATION

Academic transcript(s) should be provided for the past 3 years of most recent study. Mature students have an option that if transcript(s) are not available for the past 3 years, they must submit one transcript and a personal statement explaining the reason for the interruption and return to school.
Please select your current situation.*

I am a high school student entering University / College the fall after graduationI am part time studentI am a full time studentI am in my final year but intend to continue my education in the Fall semesterI am a mature student returning to studies
Name of University or College (where you are currently enrolled or intending to enroll):*
Degree or Certification you are studying or plan to learn:*
What is the area of concentration:*
Length of program
What will your current year of study be as of the upcoming fall :*

First yearSecond yearThird yearFourth year
Please identify the Diploma(s)/Degree(s) you already have (if applicable)
First - Post Secondary Diploma/Degree previously earned:
Second - Post Secondary Diploma/Degree previously earned:
In your own words, please outline your educational goals (maximum 500 words)*

0/500
Transcripts
Upload the last 3 years of your most recent educational transcript here. Mature students can submit 1 academic transcript and a statement. PDF copies of documents are preferred(500 words or less)*

Cancelof
Upload an additional educational transcript or personal statement for mature students here (if applicable).

Cancelof

SECTION 5: ADVOCACY/AWARENESS
I am a member of the Canadian Hard of Hearing Association (CHHA)*

YesNo
CHHA was created in what year?*
What is our mission? (maximum 100 words)*

0/100
Please specify below your experience in volunteering or involvement, whether with CHHA or other groups or organizations (i.e. school, sports, in the community, at church, etc) and what your achievements were:
#1 - Group or organization
#2 - Group or organization
#3 - Group or organization
Do you have an example of an occurrence, when you identified yourself as a person with hearing loss? (maximum 500 words)

0/500
Can you recall a time when you promoted awareness of hearing loss issues other than talking about your own hearing loss? What did you do to further the cause of people with hearing loss? (maximum 500 words)

0/500

SECTION 6: PERSONAL STATEMENT
A personal statement is where you introduce yourself as a candidate and say something about your background and motivations (separate from your educational/career goals). Here you can share your personal qualities and personal growth to illustrate why you are the right scholarship candidate. Please do not repeat what you have stated in the educational goals. (Maximum 1000 words)

0/1000
SECTION 7: SCHOLARSHIP RECOMMENDATION LETTERS

Required are 2 reference/recommendation letters.
Required are 2 reference/recommendation letters.
Letter 1*

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Letter 2 *

Cancelof
Additional Information

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Today

MonthDayYear
Should be Empty:

CHHA Scholarship Program

Preface

Science, Technology and Skilled Trades

3. Transportation

CHHA SCHOLARSHIP Application

SECTION 1: Personal Information

SECTION 2: AUDIOLOGICAL INFORMATION

Audiogram

SECTION 3: CLASSROOM ACCESSIBILITY NEEDS

SECTION 4: EDUCATION

Transcripts

SECTION 5: ADVOCACY/AWARENESS

Please specify below your experience in volunteering or involvement, whether with CHHA or other groups or organizations (i.e. school, sports, in the community, at church, etc) and what your achievements were:

SECTION 6: PERSONAL STATEMENT

SECTION 7: SCHOLARSHIP RECOMMENDATION LETTERS