Global Affiliate Scholarship Application

Global Affiliate Scholarship Application

The Global Affiliate Scholarship Program provides assistance and funding for individuals or groups that have shown dedication to the PFIC Network and its mission, and strive to further its mission in their own countries. Do you want to host a regional PFIC meetup or attend a rare disease advocacy conference? What about start a registered charitable organization in your home country to raise money for PFIC research or run a virtual disease education campaign in your native language? We invite you to fill out the Global Affiliate Scholarship Application below! PFIC Network is open to funding a variety of educational and advocacy projects all over the world.

Scholarship Rules

PFIC Network Board of Directors will review all scholarship applications. Scholarship recipients should expect to work closely with both the PFIC Network Board of Directors and staff members during their funding period. PFIC Network will continue to serve as a centralized source for all programming. 

PFIC Network will only award funds to projects that further our mission and values. Funds must be used in accordance with the terms and conditions o f the program. Recipients must submit a signed release form and terms and conditions of use to PFIC Network. PFIC Network will not disburse funds without a signed contract. Scholarship recipients must provide appropriate and ongoing documentation showing compliance to grant terms and conditions.

Scholarship Eligibility Requirements:

    • Active supporter of PFIC Network and its mission.
    • Prior and continued participation in the PFIC Network International Alliance
    • Priority will be given to applicants who are current registered Global Affiliates or who are working towards Affiliate status.

Recipients of the Affiliate Scholarship must commit to the following:

    • Participate in an interview with the PFIC Network after application is submitted
    • Must sign a minimum 2-year commitment (if applicable to project) to overseeing the programming supported by the scholarship
    • Agree to attend a minimum of (2) check-in calls with the PN Executive Director and/or Program Manager

Have questions about your eligibility? Please contact us with questions.

Please use the form below to apply:

"*" indicates required fields

Applicant Information

Name*
Connection to PFIC, BRIC and related diseases*

Address*

Program Qualification Questions

Are you currently a registered Global Affiliate in PFIC Network's Global Affiliate Program?*
If so, please list the roles you are serving/have served in and the length of time in each role.
Are you currently an active participant in the PFIC International Alliance?*
Do you have a registered PFIC advocacy organization or charity in your country?*
Do you have a social media page, Whatsapp group, and/or other formal communication channel for the PFIC community in your country?*
Are you willing to commit (2) two additional years in the PFIC Network International Alliance as a representative for your specific country?*
Do you agree to attend a minimum of (2) two project check in calls with the PFIC Network Executive Director or Program Manager?*

Scholarship Plan Questions

If applying to use funds for conference attendance, please list conferences you plan to attend including dates and locations. For each conference, please describe how you plan to advocate for PFIC at the event(s).
Do you plan to use the scholarship funds to become a PFIC Network Global Affiliate?
The mission of PFIC Network is to improve the lives of patients and families worldwide affected by PFIC.
You may list here or attach a spreadsheet to this document.
Max. file size: 512 MB.
Up to $1000 USD may be requested.

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