Student Scholarship Recommendation Form
The Communication Disorders Foundation of Virginia (CDF) is pleased to offer one $4,000 graduate student scholarship (Rita Purcell-Robertson Scholarship) and one $2,500 graduate student scholarship (David H. Narburgh Scholarship) for the 2019-2020 academic year. These scholarships are designed to recognize students who have demonstrated outstanding clinical potential.  The two awards will be granted to current or rising master’s degree students in Speech-Language Pathology or Audiology enrolled in one of the following universities in Virginia: Hampton University, James Madison University, Longwood University, Old Dominion University, Radford University, or the University of Virginia. 

Scholarship Requirements
-The student applicant must be a full-time graduate student during the 2019-2020 school year. If the student plans to graduate in December 2019, then full-time attendance during the Fall of 2019 is required.

-All recommendations must be submitted by April 15, 2019.

-The student is encouraged to obtain at least one recommendation from an individual who has observed the student’s clinical and/or academic skills or has noted personal qualities that predict clinical potential.

-Review and prepare all information required in the form below prior to submission as there is not an option to save your work within the form.

Recommender's Name *
Recommender's Name
Applicant's Name *
Applicant's Name

Questions? Email Dr. Peggy Agee, ageepc@longwood.edu