ISMRD Family Financial Scholarship Application

ISMRD wishes to assist any family with a financial need so that they are able to attend the 5th International Conference on Glycoprotein Storage Diseases. Funds are limited, so in order that we may consider your request for a scholarship, please provide the information below.

Scholarships close 31st July. To have your application considered for funding you must be fully registered for the conference.

To validate your request you must complete all sections of this application.

Name
Address
City State/province
Postal code Country
Phone Email
Diagnosis of child
How many people in your family are attending the conference?
Is this the first time you have attended an ISMRD conference?
Are you a newly diagnosed family?
Please explain what other funding sources you have tried to raise funds to help meet some of your expenses for conference:
Please indicate below all areas for which a scholarship is required by providing details of all the costs of your trip. (Note, in cases of severe need ISMRD will consider a contribution towards airfares. This will be decided case by case.)
 DetailsCost (US$)
Airfares
Accommodation
Conference registration
Amount raised so far
Shortfall
Total  
Is there anything else you want us to know about your financial situation?
This application will be assessed on need and will be considered alongside all other applications that are sent to ISMRD for funding support.