Applications must be received by ACHA by July 5, 2014, in order to be considered.
You may submit your application:
- Online by submitting this form
- By postal mail (PDF) to ACHA, Scholarship Committee, 6757 Greene Street, Suite 335, Philadelphia, PA 19119
- Fax to 215-849-1261
- Email to firstname.lastname@example.org
(If you plan on submitting your application using numbers 2-4 above please feel free to print this form)
Your privacy is of the utmost importance to ACHA. All information provided on this application is strictly confidential and will not be shared with anyone beyond the Scholarship Committee and selected office staff.
The Scholarship Committee decisions are final.
Please note: Please apply for the MINIMUM scholarship support you need (if any). This will help ensure that as many individuals as possible can attend the conference. We encourage you to seek other funding from local sources, like a minister’s discretionary fund or a service organization’s outreach fund. Thanks in advance for your willingness to help us do all that we can for the ACHD community!