Fall 2024 Rare Disease Conference Scholarship Application (in-person/travel)

CORD Patient Travel Scholarships

CORD is offering travel scholarships to patient group representatives to help offset the cost of travel to the CORD/RQMO Fall 2024 Conference in Montreal at the Delta Hotel Montreal on November 26-27, 2024.

Application Deadline: Oct 29, 2024

The scholarship funding is limited and will be awarded on a first-come, first-serve, as-needed basis with priority given to CORD members.

Customized scholarships will be offered to best assist you:
Applicants can select up to 3 benefits of scholarship that would be most helpful:

Financial assistance to cover the cost of conference registration
Financial assistance to cover the cost of the hotel accommodations
Financial assistance to cover the cost of travel (train, plane, or car)

All awards are made at CORD’s discretion. Award funding amounts will be adjusted by proximity to location of event.

Scholarship Guidelines

Who should apply?

This scholarship program is open to anyone with a rare disease, family members, and representatives of rare disease patient organizations.
Must be 18 years and over.
Applicants must reside in Canada.
Only one (1) representative from each organization may be awarded a scholarship to attend. If multiple representatives from an organization apply, we will allow the organization to make the determination on how the funding will be allocated.

What the scholarship does not cover:

Meals that are not provided during the conference
Incidentals

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* 1. Contact Details

Name *

Address

City/Town *

Province *

Postal Code *

Email Address *

Phone Number

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* 2. I am traveling to and from this address for the Fall Conference

Yes

Other (please specify)

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* 3. Are you or your organization a current member of CORD? (For information on memberships: https://www.raredisorders.ca/cord-membership/)

Yes

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* 4. Your patient organization, if applicable:

Name of patient organization

Website

Disease represented

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* 5. If you do not have a patient organization, please specify the name of the rare disease you have or are representing?

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* 6. Is anyone else from your patient group applying for a travel scholarship?

Yes

If yes, please let us know your organization's contact, as we allow the organization to determine how the funding will be allocated if multiple representatives apply.

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* 7. Please choose the scholarship for which you are applying. Applicants can select up to three scholarship benefits that would be most helpful

Financial assistance to cover the cost of registration

Financial assistance to cover the cost of the host hotel

Financial assistance to cover the cost of travel (train, plane, or car)

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* 8. What is your connection to the rare disease community?

Patient Newly/Recently Diagnosed

Patient diagnosed more than 2 years ago

Caregiver - Parent

Caregiver - Other

Other (please specify)

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* 9. In what ways will attending this event benefit you?

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* 10. Will this be your first time attending a CORD event?

Yes

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* 11. Please select the most important benefits to you. (Select all that apply)

1 night stay

2 night stay

Mileage reimbursement (not to exceed $250)

Bus Fair/Train Fare (not to exceed $400 per person roundtrip)

Economy flight fare (not to exceed $750 per person roundtrip)

Taxi reimbursement (not to exceed $50)

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* 12. We strive to host inclusive, accessible events that enable all individuals to engage fully. To help us achieve our goal, please explain in detail any accessibility needs you require (mobility, acoustics, visibility, service animals, etc) Please be aware that while we will do our best to accommodate your needs, it may not always be possible to fulfill every request.

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* 13. If I’m selected to attend the Fall Rare Disease Conference in Montreal.

I agree to attend the full 2-day activities (Nov 26 - 27, 2024)

I agree to be included in CORD’s list of potential volunteers for future activities.