2024 AAC Virtual Scholarship Application

Thank you for applying for a Virtual Scholarship! Applications will be accepted until May 17th.
Virtual Scholarships include complimentary virtual registration for the awardee.

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* 1. Please provide your contact information.

Name

Email Address

Phone Number

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* 2. Do you have ataxia?

Yes

No

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* 3. Will this be your first Annual Ataxia Conference?

Yes

No

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* 4. Do you have a financial need for a scholarship?

Yes

No