2024 NODCC Conference Scholarship Application-Local Families
The National Organization for the Disorders of the Corpus Callosum (“NODCC”) has a limited number of scholarships available to assist in covering the registration fees for the NODCC Conference. This scholarship covers registration fees only and does not cover any room or travel expenses. One conference fee per family ($300 value). SCHOLARSHIP RECIPIENTS MUST ATTEND THE NODCC CONFERENCE OR IT WILL BE FORFEITED. Preference will be given to applicants who have never attended conference (or significant time has passed since attendance) and financial need.
Those applying for a scholarship must submit this form by April 15 , 2024.
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First Name
Last Name
Street Address
City, State, Zip Code
Country
Primary Phone Number
Email Address
Birth Date
MM
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DD
/
YYYY
Scholarship applicant's family income range (used as one factor to assess applications):
If income is above $75,000, please explain any mitigating circumstances that create a need for financial assistance to attend the 2022 NODCC Conference (i.e., large family, medical or other substantial expenses, such as college tuition, other factors).
Has the applicant attended a conference in the past?
Describe any issues or problems you are experiencing because you have DCC or are caring for someone with a DCC that you hope the conference might help you to resolve or improve.
Any additional information you would like to provide relevant to the request?
Choose ONE of the following to certify that all information on this application is correct.
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