2027 Annie Appleseed Project Scholarship Application

2027 Annie Appleseed Project Scholarship Application

Conference Dates: February 25th-27th - West Palm Beach, FL
Scholarships are available to individuals currently navigating active cancer and experiencing financial hardships.

Scholarships include General Admission + Conference Replays.
Please note that scholarships do not cover hotel accommodations, travel expenses, or any additional costs associated with attending the conference.
Full Name

First NameLast Name
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Gender
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Have you received a Scholarship in the past?
What type of active cancer(s) do you have?
Please enter the date of when you were first diagnosed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Describe your cancer journey, including your diagnosis, treatment, and current status
Please explain any financial burden
In what ways do you plan to use the information or experiences gained from the conference to support your own health
Describe any involvement you have had in cancer support groups, advocacy, or other related activities.
I understand that Scholarships include General Admission and only available to those currently living with active cancer. Any family/friends/support attending must purchase their own ticket
As part of our Scholarship Program, we kindly ask that you help spread the word about our Conference and provide a testimonial reflecting on your experience after our Conference, which will be shared with our donors.
We will review your application and respond via email
Should be Empty: