Congenital Hyperinsulinism International

Scholarship Application for CHI Family Conference in Athens, Greece

There are a limited number of scholarships for HI families who are coming from out of town to stay at the hotel the nights of September 24 and 25 while attending the conference. Families interested in these scholarships should complete this online scholarship form by September 9th. CHI will manage the reservations for those people attending on scholarships.

Date:

Name

Address:

Mobile phone number:

Email

Scholarship information:
Congenital Hyperinsulinism International is offering scholarships covering the cost of up to 2 hotel nights for hyperinsulinism families who are in need of financial support to attend the 2018 Congenital Hyperinsulinism International Family Conference in Athens, Greece. We encourage you to apply and thank you for taking the time to complete this form. (All information provided in this application will be held in the strictest confidence). Please send an email to jschmitt@congenitalhi.org if you have questions. This application must be received by CHI by September 9th, 2018. Notifications of awards will be made promptly.

Names of people in addition to you in your family attending the conference. Please include children and their ages:

Please indicate which night or check both if you are requesting a room for both nights:

Evening of September 24

Evening of September 25

Please state in 200 words or less your reason for seeking this scholarship. Please state your financial need.

Please state in 200 words or less what you hope to gain by attending the conference.

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