HDSA Annual Convention Scholarship 2023

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

The intent of this scholarship program is to help families and individuals who have never been to an HDSA Convention attend the Society’s 2023 Annual Convention.

Scholarship Availability & Application
The scholarship is open only to first time Convention attendees who are not Louisiana residents. (Louisiana residents please see separate scholarship application.) Applicants must be 18 years or older as of January 1, 2023. Open to residents of the United States only.

What does the Scholarship cover?

Travel by Plane - Scholarship will cover:

Round-trip airfare up to $500 per person for up to four family members (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 3 nights, June 1^st -
June 3^rd
Convention Registration Fees for up to four family members; and
Saturday night Convention Gala tickets for up to four family members.

Travel by Automobile - Scholarship will cover:

Roundtrip mileage reimbursement at 65.5 cents per mile up to 1,000 miles round trip (distance to be calculated on Google Maps);
One hotel room for up to four family members at the Sheraton New Orleans for 3 nights, June 1^st -
June 3^rd;
Convention Registration Fees for up to four family members; and
Saturday night Convention Gala tickets for up to four family members.

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.

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.

Lead Applicant Information

First Name *

Last Name *

Date of Birth * +

Address 1 *

Address 2

City *

State *

Zip Code *

Phone *

Cell Phone *

Email Address *

Do you require a special meal?

Pureed Food

Vegetarian

Gluten Free

Applicant #2

First Name

Last Name

Date of Birth +

Relationship to Lead Applicant

Address 1

Address 2

City

State

Zip Code

Phone

Cell Phone

Email Address

Do you require a special meal?

Pureed Food

Vegetarian

Gluten Free

Applicant #3

First Name

Last Name

Date of Birth +

Relationship to Lead Applicant

Address 1

Address 2

City

State

Zip Code

Phone

Cell Phone

Email Address

Do you require a special meal?

Pureed Food

Vegetarian

Gluten Free

Applicant #4

First Name

Last Name

Date of Birth +

Relationship to Applicant

Address 1

Address 2

City

State

Zip

Phone

Cell Phone

Email Address

Do you require a special meal?

Pureed Food

Vegetarian

Gluten Free

Sections 1 through 7

1. I confirm that me and my family members listed on this application have never attended an HDSA Annual Convention before. (To receive a scholarship, you and the family members listed on this application must not have attended a previous HDSA Annual Convention.) *

Have NOT attended

Have attended

2. Did you apply for a Convention scholarship in a previous year? *

Yes

No

If yes, what year?

3. 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 location.

4a. Will you require airfare to Convention? *

Yes

No

4b. If yes, what is your originating airport:

4c. No, I will be driving to the Convention approximately _____ miles roundtrip.

5. The total 2022 Gross Annual Income for your household was: *

Essay

6. Why do you wish to attend the HDSA Annual Convention and how would a scholarship be beneficial to you and your family? *

7. Release of Liability: I hereby accept full responsibility for the safety and care of myself and the family members traveling with me 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. *

clear

Date * +