Thank you for applying for a Travel Grant! Applications will be accepted until December 3rd.

Travel Grants include complimentary registration and an award of up to $1,000, depending on financial need and available funding. Recipients will receive their grant during conference check-in.

Please be sure to double check the email address and phone number provided. If we are unable to contact you regarding your travel grant within 2 weeks of awarding, it will be forfeited.

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* 1. Please provide your contact information.

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* 2. Have you been diagnosed with Ataxia?

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

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

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* 5. Are you a Support Group Leader for NAF?

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* 6. My total monthly household income after tax is:

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* 7. How many people live in your household (including yourself)?

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* 8. Estimated Travel Costs (for applicant only)
(Please estimate your total cost to attend this event, including airfare, hotel, ground transportation, meals, mobility equipment rental, etc.)

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* 9. Do you require a caregiver to attend the conference? If you are approved for a travel grant, your required caregiver may be eligible for complimentary AAC registration and assistance with airfare.

If you have any questions about your application, please contact support@ataxia.org.

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