Haberman-Williams Scholarship Application Deadline June 1, 2024

Haberman-Williams Scholarship Application Instructions

Application instructions:

Please complete all sections of the application form.

Obtain an official copy of a transcript from the most recent academic work (undergraduate or graduate).
Write a biographical statement (two typed, double-spaced pages). Essay must address career goals, interests, and work, volunteer, and/or school/field experience relevant to the guidelines of the award.
Obtain two letters of support from professional references. Letters should be written by a candidate's professors or practicum/internship supervisor.
Please upload all information together on this form.

Student Information

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip Code *

Phone

Email Address

Residence Status *

US Citizen

US Permanent Resident

International Student

Name of University/College *

Degree Program *

Student Status *

Full time

Part time

Other Other

Projected Graduatioon (mm/yy) *

Credits earned to date *

Practicum Site (if applicable) *

Internship SIte (if applicable) *

Employed: *

Full time

Part time

Not employed

Employer - if employed

MaMHCA Membership (required to be eligible for award) *

Yes

No

Not yet a MaMHCA member?

Click here to join today:

Become a MaMHCA Member

MaMHCA Board of Directors Commitment (Required to be eligible for the award.) I agree to participate in two MaMHCA Board of Directors Meetings during my scholarship year. *

Yes

No

Signature Signature

MaMHCA Annual Conference Commitment (Required to be eligible for the award.) I agree to participate in the MaMHCA Annual Conference during my scholarship year. *

Yes

No

Signature Signature

Academic Document Checklist

Biographical Statement *

Upload your Biographical Statement here if you did not enter it above *

Official transcript *

Letters of support from professional reference #1 *

Letters of support from professional reference #2 *