ARA - Academy of Rehabilitative Audiology

The Herbert J. Oyer Student Research Award
2012 Application Form

First Name:
Last name:

Preferred Contact Address:
Street Address:
City:
State:
Zip Code:
Country:
Email (Required)

University Program:
Department:
University:
Street Address:
City:
State:
Zip Code
Country:

Degree to be earned:
Other degree (if other selected):
Date or projected date of graduation:

Research Supervisor:
Name:
Email:
Daytime phone number

Title of Research Project:

Paste or enter an 800-1000 word summary of your presentation in the box:

Paste or enter 50-100 word abstract in the box:

NOTE: You MUST be available to present your research at the 2012 ARA Institute in Providence, Rhode Island

If your research is not selected to receive the Oyer Award would you like to consider submitting this for a podium or poster presentation?

Your response to this question will NOT in any way affect the evaluation of your application.

By submitting this application I certify this work is not currently being reviewed for presentation or publication by any other organization or journal (enter initials in the box)

Certification of student status:

I certify that I am currently enrolled or was enrolled in an academic program during the year preceding this application (enter initials into the box)

*Please have your research mentor email a letter of reference to ARA.Oyer.Award@louisville.edu* by May 30, 2012. Your mentor should also confirm that you completed the research while a student in an audiology program.