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Vivian Drenckhan
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Society for Public Health Education
750 First St. NE, Suite 910
Washington, DC 20002-4242

info@sophe.org
(202) 408-9804
fax: (202) 408-9815

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Last Update
Thu, Dec 30, 2004
Vivian Drenckhahn Student Scholarship Demonstrated Financial Need Form

Deadline: July 31st of each calendar year

The Society for Public Health Education (SOPHE) is proud to be able to offer two student scholarships each year of $1,500 to undergraduate and graduate students pursuing a degree in the field of health education. As part of the criteria for this award, potential recipients must provide evidence of financial need. To this end, we are requesting that the department chair or financial aid office of the applicant’s institution complete this form and either stamp with the department/institution seal or attached to official institution letterhead. Please mail form directly to the National SOPHE office.

Society for Public Health Education
Awards Committee
750 First Street NE, Suite 910
Washington, DC 20002

Student Information:

Student’s Name
Undergraduate Graduate

Phone ()
Fax ( )

E-mail
Name of University/College
Department and Program Area
Degree sought

Verification of Financial Need:
I,(Department Chair or Financial Aid Officer) can verify on (date), that (student’s name) satisfies the need for financial aid as determined by this university and should be considered for the SOPHE Vivian Drenckhahn Student Scholarship which is intended for students that have a demonstrated financial need.
Department Chair or
Financial Aid Officer
Title

Sign Here:_________________________________________

Phone ()
Fax ( )

E-mail

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