| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Thank You for Applying!

Scholarships Information
There are three (3) $1000.00 scholarships to an individual impacted by hemophilia or other significant bleeding disorder. Once chosen as a recipient, the scholarship will be good for one year. Recipients shall be allowed to apply for up to four years. A check will be made payable to the educational institution and mailed to the institution each year following verification of continuing education and an adequate academic record.
Application Requirements
In order for your application to be complete, your must submit the following materials:
  • This Online Application
  • Essay, 250-300 words
  • Two (2) Reference Letters (Example) - One reference must be by an individual who can identify you in relation to hemophilia or other bleeding disorder and its impact on your life.
  • Evidence of Diagnosis through clinician or HTC (Example)
  • Your Most Up-to-Date Transcript (official or unofficial)


Tell Us About You

Contact Information

Personal Information

For applicants under 18 years of age, please put in a parent/guardian's contact information.

(Choose primary relationship or hold Ctrl to choose more than one.)

Employment & Education

Your Education

If you are not currently employed, please put N/A in the text box below.

Other Activities

Activities, Organizations, & Achievements
Please list your involvement in each section below.
The time-frame should be limited to your last four years of school.

If employed, amend to allow for work and social experience.
Put N/A for any sections that you want to leave blank.

Material Submission

Below, upload your supporting materials. In order for your application to be considered complete, you must upload all required documents. Incomplete applications will NOT be considered by the committee.

Important Notes
  • Only PDF files will be accepted.
  • Only official transcripts may be mailed in; all other documents (including unofficial transcripts) must be uploaded.
Essay (250-300 words)
Write an essay using one of the following themes as a topic:
  • Knowledge is Power.
  • Changing the stereotypical view of what it is have a bleeding disorder.


Verification of Diagnosis


Acceptance / Enrollment Letter
If you are attending a different school than the one on the transcript you provided, please attach your acceptance letter for the upcoming school year. Failure to do so will result in your application being incomplete. If you are attending the same school as your transcript, no further action is needed.


Communications / Marketing

By checking this box, you authorize HFA to use your information for marketing and promotional purposes.
Review & Selection Process
The scholarships granted are determined by the scholarship committee of HFA. All decisions made by the committee are final. Recipients will be notified of the outcome by the scholarship committee by e-mail. Any information submitted with this application will become the property of HFA.

All information contained in this application will be utilized in the determination of each scholarship winner. Applications must be completed in full in order to be considered by the committee. All scholarship and grant award recipients will be notified no later than September 30th.

For any questions about your application, please contact the team at scholarship@hemophiliafed.org.
Want to apply for more scholarships? Browse through our Scholarships Database to see what's available!

Click the "Submit Application" button below to complete your application.