HDSA Annual Convention Scholarship 2023: Louisiana Residents

The Huntington’s Disease Society of America will be hosting the 38^th Annual HDSA Convention in New Orleans on June 1-3, 2023. To help local families participate, we are pleased to announce the creation of a financial aid scholarship for individuals and/or families living in Louisiana who wish to attend the Annual Convention. We are accepting applications through Wednesday, March 15, 2023. Applicants will be notified no later than March 31, 2023 as to whether they have been awarded a scholarship.

Scholarship Availability & Application

The intent of this scholarship is to help families and individuals who live in the state of Louisiana to attend the 38^th Annual HDSA Convention.
The scholarship is open to any family member or caregiver who is affected by Huntington’s disease. There are no restrictions regarding prior Convention attendance.

Applicants must be 18 years or older as of January 1, 2023.

What does the Scholarship cover?

A Full Scholarship: A full scholarship recipient will receive funding to cover hotel accommodations at the Sheraton New Orleans and Convention registration, which includes your ticket to the Convention Gala on Saturday.

A Partial Scholarship: Any person may also request a partial scholarship if they are able to pay for some portion of their costs and only require partial assistance.

Application Deadline: Applications must be received no later than, March 15, 2023.

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. Previous attendance at an Annual HDSA Convention: *

I have never attended a Convention before

This will be my 2nd Convention

This will be my 3rd Convention

I have attended 4 or more Conventions

2. I have attended local: *

HDSA fundraisers

HDSA Support Groups

State Conventions

I am new to HDSA and this would be my first event

3. Are you active in any local HDSA Chapter/Affiliate and/or Support Group? *

Yes

No

If yes, please provide the name of the Chapter/Affiliate and/or Support Group.

4. Please write an essay on “What you hope to gain from attending the Annual HDSA Convention”? This essay should be a minimum of 200 words and not to exceed 500 words. You can have someone in your family help you write your essay. Please provide any information about your personal involvement in supporting Huntington’s disease advocacy, awareness, education, or fund raising efforts either through an HDSA Chapter or Affiliate, support group, local or national media, etc. *

5. Type of Financial Help Needed: This section will help us to better understand the financial support you’ll need to attend the HDSA Annual Convention. As a scholarship winner, I’ll need help with (check what you will need help with): *

Full Scholarship: including funding to one hotel room for up to four family members at the Sheraton New Orleans for 3 nights, June 1st - June 3rd; and Convention registration for up to four family members, which includes your ticket to the Convention Gala dinner on Saturday.

Partial Scholarship: check partial when you only need assistance with the individual items checked below.

If you selected Partial Scholarship, which item do you need assistance with? As a scholarship winner, I’ll need help with (check what you will need help with): *

Hotel room: one hotel room for up to four family members at the Sheraton New Orleans for 3 nights, June 1st - June 3rd

Convention Registration: fee including a ticket to the Convention Gala for up to four family members.

N/A: I need a Full Scholarship

6. Financial Need: The total 2022 Gross Annual Income for your household was: *

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 * +