The 38th Annual HDSA Convention National Youth Alliance [NYA] Scholarship Application

The Huntington’s Disease Society of America is pleased to announce it is now accepting scholarship applications to attend the 38th Annual HDSA Convention in New Orleans, LA this June!

For 20 years, the intent of this scholarship has been to help youth and young adults in the NYA community attend the HDSA National Convention each year! This year it is being held in New Orleans, LA from June 1st-3rd. This scholarship was established to benefit the NYA community and exists thanks to the support and generosity of so many through fundraising efforts throughout the HDSA convention and throughout the year.

The application may be completed by any NYA or NYA alumni member who needs financial assistance to attend the HDSA 2023 National Convention in New Orleans, LA.

Please note, all information contained on this application is not to be shared and kept confidential.

Scholarship Availability & Application
The scholarship is open to any current or alumni member of the NYA. ANYONE can apply that has or has not received a scholarship in the past. You must be registered and on our HDSA's NYA email list to apply. To join our email list and our youth and young adult community, the information is available at www.hdsa.org/nya. Open to residents of the United States only.

All Scholarship recipients are expected to attend NYA Day on Thursday, June 1, 2023, as well as sessions and NYA activities during the course of the National Convention.

What does the Scholarship cover?

Round-trip airfare up to $500 per person (please note you must book and pay for your airfare and you will be reimbursed at the Convention)
One hotel room for up to four family members at the Sheraton New Orleans for 4 nights, May 31st -June 3^rd
Convention Registration Fees
Saturday night Convention Gala ticket

Travel by Automobile: Roundtrip mileage reimbursement at 65.5 cents per mile up to 1,000 miles round trip (distance to be calculated on Google Maps).

What doesn’t the Scholarship cover?

Hotel incidentals (You will need to have a credit card and ID to check into your room.)
Transportation to and from the hotel/airport.
Meals that are not provided as part of the Convention registration.

Possible Partial scholarships:

Hotel Accomadations
Travel Reimbursement
HDSA Convention Registration

Application Deadline:

Applications must be received no later than midnight, Wednesday, March 15, 2023.

Notification of Winners

Applicants will be notified no later than March 31, 2023 as to whether they have been awarded a scholarship.

Scholarship recipients from 2022 are eligible for a NYA scholarship. Priority will go to those who did not receive a NYA scholarship in 2022.

Thank you for your continued support to the Huntington’s Disease Society of America and the HDSA National Youth Alliance!

Applicant Information

First Name *

MI

Last Name *

Date of Birth * +

Address 1 *

Address 2

City *

State *

Zip Code *

Phone *

Cell Phone *

Email Address *

Parent or Guardian

If you are a minor (under18) please provide the following information about your parent or guardian:

First Name

Last Name

Address 1

Address 2

City

State

Zip

Phone

Cell Phone

Email Address

Relationship to Applicant

Community

Are you actively part of a local HDSA Chapter/Affiliate and/or support group? *

Yes

No

If yes, please provide the name of the Chapter/Affiliate and/or support group.

Have you ever attended or participated in the Annual HDSA National Convention? *

Yes

No

Yes but only virtually

Did you receive a NYA scholarship for the Annual HDSA National Convention in 2022? *

Yes

No

Are you applying for a full or partial scholarship? *

Full

Partial

If you are applying for a partial scholarship, what will you need covered? *

HDSA Convention Registration

Hotel Accommodations

Travel Reimbursement

I am applying for a full scholarship

Please answer the following in the space provided. What do you hope to learn from attending the HDSA National Convention? What are you looking forward to most from attending the HDSA National Convention? *

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Type of Financial Help Needed: Please complete this section and submit documents requested. It will help us better understand the financial support you’ll need to attend the HDSA National Convention.

How many people/dependents are currently living in your home (including yourself): [a dependent is defined as those in Box 6 of IRS Income Tax form 1040, including the person filing.]

Adults 18 and older: *

Children 17 and younger: *

Total Gross Annual Income for 2022 was: *

Are other family members planning on attending the 2023 Convention? *

Yes

No

Have they registered for the 2023 HDSA Convention?

Yes

No

No, but are planning on registering.

If you and/or your family members are applying for other Convention Scholarships please check all that apply. (This will not hinder or improve your chances of getting the NYA Scholarship) *

HDSA National Convention Scholarship

HDSA Louisiana Resident Scholarship

We are not applying for any other scholarship

Other Scholarship (Please enter the name of scholarship) Other Scholarship (Please enter the name of scholarship)

Release of Liability: I hereby accept full responsibility for the safety and care of myself, should I be awarded an HDSA Annual Convention Scholarship. I and my family members traveling with me are able to travel on our own and attend the HDSA Annual Convention in New Orleans, LA without aid or supervision. *

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Release of Liability from parent/guardian for applicants under 18: I hereby accept full responsibility for the safety and care of the applicant traveling with me should we be awarded an HDSA Annual Convention Scholarship. I and my family members traveling with me are able to travel on our own and attend the HDSA Annual Convention in New Orleans, LA without aid or supervision. All applicants under the age of 18 must be accompanied by a parent or an adult guardian. *

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If you have any questions about the NYA National Convention Scholarship application, please contact MaryAnn Emerick.

memerick@hdsa.org