All non-profit free healthcare clinics, advocates and patient organizations are welcome to apply for a Scholarship. Organizations must have 501(c)(3) tax-exempt status. Scholarships are limited to one (1) representative from each organization.

Deadline: July 16, 2021

Each applicant must complete the entire application. Acceptance is at the discretion of Informa Connect. There are a limited number of scholarships available.

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* 1. Organization:

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* 2. Organization Address:

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* 3. Applicant Name:

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* 4. Job Title:

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* 5. Phone Number:

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* 6. Applicant Email Address:

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* 7. What is your function within your organization?

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* 8. How would you describe your organization’s activities and goals within the patient assistance and healthcare community?

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* 9. What value do you anticipate you will derive by attending this conference and how will that enable your organization to achieve the goals described above?

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