[forminator_form id="28829"]

Please include in your package the following information:

(Missing documents can affect your receiving consideration for the award)

● Recent audiogram, IEP or Proof hearing loss
● Documentation of enrollment in the higher learning institution (letter of acceptance,
letter from institution or business, transcript, etc.) NOTE: Grades are not a determinate
of receiving the scholarship.
● What are your goals and what do you need to succeed?
o You can write an essay or you can submit a video clip no longer than 3 minutes in
length.
● One letter of recommendation (see below)
● A list of your community service activities if applicable
● A short Bio about yourself. What you want to do to impact the community and what you
will use the money for.
● Please submit a photo with your application for publication.
● Signed release form (see below)

Eligibility Criteria

(Missing documents can affect your receiving consideration for the award)


1. Applicants must be residents of Michigan for at least 1 year however they can attend out
of state schools and must be a resident of Wayne County (in Michigan).
2. Current proof you are enrolled in or attending or been accepted to higher learning
institution, Internship, Trade program etc.
3. Applicant must submit one proof of hearing loss:
a. such as an audiogram
b. physician’s verification
c. IEP
4. Applicants can use a variety of media to submit their application:
a. Essay
b. Videotape presentation
c. PowerPoint presentation
5. Please submit at least one letter of recommendation: personal letter from a relative or
friend and/or professional recommendation
6. Applicant must agree to volunteer for an AADHH and/or GMDLC event or activity for a
total of 4 hours in the 2023-2024 year. Collectively with the two organization.
7. Age and previous educational background should not stop you from applying for the
scholarship. Please contact us with any questions you may have.
8. THE DEADLINE FOR THE APPLICATION IS OCTOBER 5, 2023. THE
APPLICATION MOST BE POSTMARKED BY OCTOBER 5, 2023.
9. The Scholarship(s) will be announced the first week of November 2023