If you know you can benefit from attending the conference and would like to apply for a scholarship for yourself, or if you’re already attending but would like to apply for a scholarship on behalf of a loved one so he or she can attend with you, please apply by answering the questions below.

Apply right away, as we will begin allocating funds to applicants as soon as we begin receiving applications, and will do so until the funds are expended. In our efforts to help as many people as possible to attend the conference with the funds available, we cannot cover all conference-related costs for scholarship recipients.

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* 1. Name

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* 2. Address

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* 3. Email

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* 4. Phone

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* 5. Are you a:

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* 6. Have you previously attended the patient conference?

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* 7. Submit an essay (from 200-1,000 words) explaining thoroughly why you or your loved one needs to be at the conference, and why it's a financial struggle for you.

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* 8. I am aware that if my application is accepted and a scholarship awarded, I will still be responsible for transportation to and from the event, and meals not provided already by the conference, as well as some or all of my hotel costs. Even if the scholarship covers my hotel room and tax, I acknowledge that I will still be expected to provide the hotel my credit card information for incidentals, and for one night of hotel and tax if I do not show up or cancel within the hotel’s cancellation policy.

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