Financial Hardship Scholarship Application

FDRS does not want financial hardship to keep anyone from attending our annual conference. As such, we are pleased to announce a limited number of financial hardship scholarships to attend the conference as a virtual attendee. The scholarships will be awarded based on financial need.

In order to provide scholarships to the largest number of people, scholarships are for virtual registrations only, not onsite.

Full scholarships

Attendees who earn 100% and under the federal poverty level (FPL) are eligible to apply for a full scholarship to attend the conference as a virtual attendee.

Partial scholarships

Attendees who earn between 101%-200% of FPL are eligible to apply for a partial scholarship to attend the conference as a virtual attendee.

Selection of scholarship winners

The number of scholarships available is contingent on the amount of money raised for scholarship purposes. Applicants with the most demonstrated financial need will receive priority for the available scholarship(s).

Confidentiality

The applications and information contained herein will be treated with absolute confidentiality. Only FDRS board members and appointed volunteers will have access to the applicants and will not disclose any information received through the scholarship process. We will not publish names publicly of scholarship winners.

Deadline

All applications must be received by March 15, 2024 in order to be considered for the early bird scholarships. Scholarship winners will be notified on or around April 1, 2024. Applications received after that date will be placed on a waiting list and will be awarded based on availability of scholarships.

Qualifications

In order to provide scholarships to those most in need, we ask that applicants’ income be within the federal poverty level guidelines as outlined below:

Partial Scholarship

Persons in family - Maximum Annual Income

1 - $18,090 - $24,120

2 - $24,360 -$32,480

3 - $30,630 - $40,840

4 - $36,900 - $49,200

5 - $43,170 - $57,560

6 - $49,440 - $65,920

7 - $55,710 - $74,280

8 - $61,980 - $82,640

Full Scholarship

Persons in family - Maximum Annual Income

1 - $12,060

2 - $16,240

3 - $20,420

4 - $24,600

5 - $28,780

6 - $32,960

7 - $37,140

8 - $41,320

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

I have:

Lipedema

Dercum's disease

Madelung's disease

Why are you requesting financial assistance?

Please indicate your selection

I am applying for a full scholarship (waived registration)

I am applying for a partial scholarship.

Indicate the amount you can contribute to offset the cost of registration.

$

Acknowledgement

I acknowledge that I understand this scholarship is for a virtual registration and not an onsite registration.

Acknowledgement

This application is for the attendee only. Should you require financial assistance for a companion, the companion must also apply for for financial assistance.

Acknowledgement

If I am awarded a scholarship, I will notify FDRS immediately should I be unable to attend so that the scholarship can be transferred to another attendee.

Acknowledgement

I acknowledge that the information given on this application is correct and complete. I understand that this information is considered confidential and will be used only for the purpose of evaluating financial need for a full or partial scholarship.