Conference scholarship – Angelman Syndrome Foundation

This application is now closed.

ASF Family Conference Scholarship Form

The Angelman Syndrome Foundation will be offering a limited number of scholarships to aid families who may not otherwise be able to attend. Scholarship awards include up to three (3) nights hotel accommodations at the standard group rate of $259.90/night (includes tax) at the Round Rock Kalahari Resort. One (1) scholarship award per family. Conference scholarships are not cash awards and no money or funds are exchanged. All completed applications must be submitted no later than May 1, 2022. Applications received after that date will not be considered. All information provided is held strictly confidential.

Step 1 of 4

I understand that by submitting this scholarship application I / my family will be fairly considered for scholarship funding.*
- I understand
I understand that there are additional conference expenses that will be my/our responsibility.*
- I understand.
I understand that all children under the age of 18 and all individuals with Angelman syndrome who come to the conference with me/my family must be accompanied by a care provider throughout the conference and that the care provider must be at least 18 years old.*
- I understand.
I/my family understand that by accepting this scholarship, registered attendees are expected to attend conference sessions.*
- I understand.
I understand that I/we are declaring that if/when we accept the scholarship award, we will stay at the Kalahari Resort Hotel and will attend the conference in Round Rock during the days that are covered by the award.*
- I understand.

Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email*
I am the parent or caregiver of an individual with Angelman Syndrome.*
Name of your individual(s) with AS*
Is this your first ASF Family Conference?
- Yes