222 S. Rainbow Blvd
Suite 203
Las Vegas, Nevada 89145

NHF Nevada Academic 2017 Scholarship Application

The Nevada Chapter of the National Hemophilia Foundation’s (NHF Nevada) Academic Scholarship Program was started through the generous contributions of a local family and medical provider.  The scholarships are available to anyone living in Nevada with an inherited bleeding disorder. The applicant must be in the process of seeking a post-secondary education, which can include a college or university, or a trade school.

NHF Nevada provides scholarships annually in the amounts of $250 - $1,000.  Students may reapply each year as long as they continue to meet the eligibility criteria. NHF Nevada will take a number of factors into consideration when determining the award winners including academic merit, leadership qualities, narrative and reference letters, financial need, and impact of bleeding disorder on educational activities.  Awarded scholarship monies cannot be distributed directly to an individual; if awarded, the NHF Nevada staff will work with the award recipient(s) to process the scholarship funds.

The applications can be submitted online and must be complete by April 1, 2017-no exceptions. Applications completed by anyone other than the applicant will not be accepted. Incomplete applications will not be considered. The recipients of the scholarship monies will be notified after May 1, 2017. In an effort to ensure confidentiality, applications will be seen by the NHF Nevada staff and scholarship committee only. 

Important application details:

  • Please complete the following application no later than April 1, 2017.
  • This form cannot be saved so it must be completed in one session or download the application and mail it in.
  • Please mail any additional documents to the address below, additional documents must be postmarked by April 1, 2017.

NHF Nevada
Attn: Academic Scholarship Program
7473 W. Lake Mead Blvd., Ste 100
Las Vegas, NV 89128

  • Preference will be given to those individuals who have not previously received academic scholarship funding.
  • We will be contacting selected recipients after May 1, 2017 with final decisions for conference attendees receiving funds.

NHF Nevada Scholarship Application Checklist:

  • Completed Application
  • Narrative
  • Resume
  • Letters of recommendation in an enclosed envelope (2)
  • Copy of acceptance letter from college/university (incoming freshman only)
  • High school/college/university transcript (unofficial) 
  • Copy of standardized test scores (optional)
Applicant's First and Last Name
Address (State, City, and Zip)
Phone Number
Date of Birth
Month
/
Day
/
Year
This Applicant Is:
This Applicant Is:
Type of Bleeding Disorder
I have graduated from high school.
I have graduated from high school.
High School Graduation Date
Month
/
Day
/
Year
I am currently enrolled in a college, university, or trade school.
I am currently enrolled in a college, university, or trade school.
Anticipated College Graduation Date
Month
/
Day
/
Year
Where do you intend to enroll or continue your education?
If you are not currently enrolled in a post-high school educational program (i.e. university), have you applied?
If you are not currently enrolled in a post-high school educational program (i.e. university), have you applied?
Have you been admitted to a post-high school educational program?
Have you been admitted to a post-high school educational program?
Semester of Planned Enrollment
Please check your intended status:
Please check your intended status:
List any extracurricular activities and indicate if they were high school or college activities.
List any special recognition or awards you have received (i.e. honor roll, service awards).
List any ways you are involved with the bleeding disorder community.
Are you currently receiving financial aid for your post-high school education?
Are you currently receiving financial aid for your post-high school education?
Please indicate if you are receiving or planning to apply for:
Please indicate if you are receiving or planning to apply for:
Guaranteed Student Loans Status
University Scholarship(s) Status
Work Study Funds Status
Bank Loans Status
Parental/ Family Support Status
Other Financial Aid Description and Status
What percentage of your total college/university expense are/will be paid through the financial aid checked above?
Please mark all that apply. I am a(n):
I am a(n):
Total Household Annual Income
Total number of dependents
Please describe your current or anticipated housing status while enrolled in college or university.
Please describe your current or anticipated housing status while enrolled in college or university.
Please describe any extenuating or special circumstances that place you in financial need during your time as a student. (Optional)
If you would like to share your performance on any standardized tests, please list your tests taken and test scores. Please provide copies of actual test scores. (Optional)
Is English your native language?
Is English your native language?
Please describe your educational and career goals. If your bleeding disorder has played a role in influencing these goals, explain how. Indicate how receiving the scholarship will help you to meet these goals. Please limit your narrative to 300 words. The narratives will be evaluated in terms of content as well as grammar and style. Narratives should be in essay form--not an outline or list.
Please include a narrative of 300 words or less describing the impact that this scholarship funding would have on your education (see below).  Feel free to include career goals or activities directly related to your educational pursuits.
By checking the box, I certify that I agree to the information below. I certify that the information I have submitted is true and accurate to the best of my knowledge. Disclosing false information may jeopardize my award at any time. In the event that there is a change in any of the information presented in the application, I will promptly notify the Nevada Chapter of the National Hemophilia Foundation.
By checking the box, I certify that I agree to the information below. I certify that the information I have submitted is true and accurate to the best of my knowledge. Disclosing false information may jeopardize my award at any time. In the event that there is a change in any of the information presented in the application, I will promptly notify the Nevada Chapter of the National Hemophilia Foundation.

Supporting Materials

  • Please include at least two letters of support. These letters must be included in your application in a SEALED ENVELOPE.  Submitting more than two letters will not affect your chances of being selected. Deadline for receiving this information is April 1, 2017.
    • One letter must be from a teacher, instructor or professor who taught you in a class and should address your potential to achieve your academic goals.
    • Optional: One letter can be from an employer, church leader, health care provider or other professional person who is involved in your life.

      In writing this letter of reference have them include comments reflecting your knowledge and insight pertaining to the following areas: the individual's educational and career goals, how this individual's bleeding disorder and/family member's bleeding disorder has affected their educational and career goals, how you see this individual utilizing the scholarship, and any other information that you feel would be important for the committee reviewers to know.
       
  • Please mail an official transcript (“issued to student” transcripts are not acceptable) from the school in which you are currently enrolled sent to NHF Nevada.  This transcript must be sent by postal mail to NHF Nevada.  A faxed copy will not be accepted. If you are currently enrolled in school, please have your most recent transcript sent. High school seniors entering college should send their high school transcript.
222 S. Rainbow Blvd
Suite 203
Las Vegas, Nevada 89145

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