2020 Grant Application

  • 2. Contact Information
    In the event that the staff who submitted the grant request leaves the organization during the grant period, the Foundation needs the contact information for a second individual who is responsible for the project.
  • 3. Amount Requested: $8,000 maximum total/organization for local consumer-led organizations and hemophilia treatment centers; $10,000 maximum for national organizations and the eight regional coordinating centers.
  • Item Description & Calculation Detail$ Amount 
  • See Sample Budget in Appendix C of the Grant Guidance.

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    1. Be sure to include required attachments specified in the Guidance.

      Note: your uploaded documents MUST be in PDF, JPG, or JPEG format.
    2. THE APPLICATION MUST BE SUBMITTED ONLINE. ONCE COMPLETED, THE REPORT MUST BE SUBMITTED ELECTRONICALLY BY PRESSING THE “SUBMIT” BUTTON AT THE BOTTOM OF THIS FORM. YOU WILL RECEIVE AN ELECTRONIC CONFIRMATION OF RECEIPT.
    3. After clicking the “Submit” button below, a notification email, along with a link to a PDF of this form submission, will be sent to the email that you’ve entered into the “Email for primary contact person” field. However, the PDF can only be accessed from the same computer that was used to submit this form. This is a security measure to prevent unauthorized downloads. Therefore, if you are submitting this form on behalf of someone else and have input their email address into the “Email for primary contact person” field, then the primary contact will need to email the PDF link to you so that you can access it from your computer.
    4. If after submitting the form you don’t receive a notification email in your Inbox, then please check your spam folder and whitelist the email address “info@hemophiliaalliancefoundation.org”. YOU ARE RESPONSIBLE FOR MAKING SURE YOU RECEIVE THIS ACKNOWLEDGEMENT OF RECEIPT.
    5. Next to the Submit button, you'll see a "Save and Continue Later" link. Clicking it will save your progress and provide you with a unique link that will let you return to your in-progress application. Note that attachments won't be saved, so you would need to re-attach them when you come back to the application, but all other entires will be saved.
    6. If, upon clicking the Submit button, you encounter a "Page cannot be found" or "Site will not load" error or anything similar, that means there's a security setting on your Internet connection that's preventing you from submitting the application. If you have an IT department, please alert them to the issue. If you don't, then please contact us at "info@hemophiliaalliancefoundation.org" and we'll sort it out for you.
  • Accepted file types: pdf, jpg, jpeg, Max. file size: 32 MB.
  • Accepted file types: pdf, jpg, jpeg, Max. file size: 32 MB.
  • Accepted file types: pdf, jpg, jpeg, Max. file size: 32 MB.
  • Accepted file types: pdf, jpg, jpeg, Max. file size: 32 MB.
  • Accepted file types: pdf, jpg, jpeg, Max. file size: 32 MB.