Educational Scholarship Application NOHF/COCNHF

Application for Educational Scholarship
Who is eligible to apply?

Any members with a diagnosed, factor deficient bleeding disorder living or being treated in our service area are eligible to apply for a scholarship up to $500 per calendar year to be used toward tuition, books, and tutoring. For tuition, the candidate must be currently enrolled in an accredited post-secondary school or vocational/technical center and have a 2.5 GPA or higher. When funds are available, caregivers may also apply.
For any further questions, please reach out to liz@gobdf.org

Checks will be written out directly to the educational institution.
We will not reimburse for expenses paid.
Please allow up to two weeks for approval and processing.
Checklist for submission
Date

MonthDayYear
Date
First Name
Last Name
Age
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County
Email Address
Name of School
Address of School

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current GPA (Please attach transcript)

Cancelof
Current bill from educational institution (Please attach)

Cancelof
Type of Bleeding Disorder
Which Hemophilia Treatment Center are you seen at?
I give my HTC or treating hospital permission to confirm my/my family members' bleeding disorder diagnosis with chapter staff. This information will be held confidential and will not be shared.
Signature of Applicant
Please verify that you are human

Application for Educational Scholarship