Hemophilia Alliance Foundation Scholarship Application

HEMOPHILIA ALLIANCE JOE PUGLIESE EDUCATIONAL AWARD APPLICATION

Description:

The Hemophilia Alliance, The Alliance Pharmacy, and the Hemophilia Alliance Foundation are pleased to support the 2026-2027 Joe Pugliese Educational Award. This award is a scholarship provided annually to individuals diagnosed with an inherited bleeding or inherited thrombotic disorder who are active patients in a federally funded Hemophilia Treatment Center, in support of post-secondary educational pursuits.

The 2026-2027 education award will provide each of four recipients with $12,500 for tuition and/or any qualified educational expense to be used within one academic year of award receipt.

It is a shared goal of the Hemophilia Alliance and the Hemophilia Alliance Foundation that this scholarship program continues for many years to help support individuals with inherited bleeding or inherited thrombotic disorders throughout their education.

Qualified Expenses:

Tuition
Housing or food expenses
Tools or instruments required for educational program
Books, computers or other supplies

Eligibility:

The scholarship applicant must be an individual diagnosed with an inherited bleeding or inherited thrombotic disorder, and an active patient of a federally funded Hemophilia Treatment Center:
The applicant must be:
- a high-school senior with the goal of attending a community college, a four-year college/university or vocational-technical school; or
- A current student already pursuing a community college, four year college/university, post undergraduate degree, or a trade license/certification; or
An adult student planning on returning to school to complete their degree or planning to pursue an advanced degree or planning to obtain vocational/technical license/certification.

NOTE: Applicants cannot be a relative of a staff member or Board member of the Hemophilia Alliance, the Hemophilia Alliance Foundation, or The Alliance Pharmacy (TAP).

Academic Enrollment:

Applicants must be currently enrolled or preparing to enroll in a college, university, vocational, technical, or a post undergraduate degree program for the 2026/2027 academic year.

How To Apply:

Interested applicants need to complete the online application form.
Include a 1000 word or less personal essay detailing educational and future career goals, as well as how this scholarship award will help to reach those goals, and why the applicant should be selected.
Include details on pertinent extracurricular activities, work experiences, and awards or honors.
Include a letter of recommendation on HTC letterhead from a healthcare professional at the applicant’s Hemophilia Treatment Center which confirms that the applicant is an active patient AND why the applicant should receive the award.
Provide one additional letter of recommendation from either a current educational institution representative or from an individual, not related, with knowledge of the applicant’s character and academic success.
Provide documentation of acceptance or enrollment from an education institution, such as a current school schedule, invoice, or statement of account from the school.

Application Timeline:

February 27,2026: Application acceptances begin
April 10, 2026: Deadline for completed application
Week of May 17, 2026: Interviews with Finalists
Week of May 24, 2026: Notification of awards

Scholarship Award Recipient Selection:

Applications will be reviewed and scored by the Scholarship Committee of the Hemophilia Alliance Foundation.
Essay will count as 60% of application’s total score.
Virtual interviews will be scheduled with all finalists.
Late or incomplete applications will not be considered.

For Questions:

Contact the Hemophilia Alliance Foundation at info@hemophiliaalliancefoundation.org

Name

This field is for validation purposes and should be left unchanged.

Application Deadline - April 10th, 2026

Full Legal Name(Required)

First Middle Last

Date of Birth(Required)

APPLICANT INFORMATION

Current Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

FAMILY / GUARDIAN INFORMATION (IF APPLICANT IS A MINOR UNDER 18 YRS)

Full Legal Name

First Middle Last

Relationship

Current Mailing Address

Street Address Address Line 2 City State ZIP Code

Phone

EDUCATION INFORMATION

Are you currently a student?(Required)

Yes

School Name

School Address

Street Address Address Line 2 City State ZIP Code

School Phone

Expected Graduation Date

School Activities. List any school-related activities in which you have participated. (If not currently a student, list any activities in following section under community activities). Click on the (+) sign to add more rows if needed.(Required)

Organization

Date of Active Participation

Role in Activity / Significance of Activity

Brief Comments on School Activities

Community Activities. List any community activities in which you have participated without pay during the past four years. Click on the (+) sign to add more rows if needed.

Organization

Date of Active Participation

Role in Activity / Significance of Activity

Brief Comments on Community Activities

AWARDS / HONORS (List awards or honors you have received and briefly explain their significance. Click on the (+) sign to add more rows if needed.)

List

Award/Honor

Date

Significance

Brief Comments on Significance

Personal Essay

Upload Personal Essay

Drop files here or

Accepted file types: jpg, png, pdf, docx, Max. file size: 32 MB.

Upload College Acceptance Letter(s) (if applicable)

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Accepted file types: jpg, png, pdf, docx, Max. file size: 32 MB.

HEMOPHILIA TREATMENT CENTER INFORMATION & RECOMMENDATION

Please note: The HTC letter must be on letterhead and requires three parts:

Confirmation that you are an active patient in the HTC currently.
A recommendation about why you would be a good candidate for this scholarship.
Signature and role of team member signing the letter (i.e. physician, social worker, etc.)

HTC Name

HTC Contact Name

HTC Phone Number

Upload HTC letter of recommendation

Drop files here or

Accepted file types: jpg, png, pdf, docx, Max. file size: 32 MB.

ADDITIONAL LETTER OF SUPPORT (from someone with firsthand knowledge of your worthiness for this award and why. If you are a current student, a letter from a teacher, coach, guidance counselor, etc. is preferred). Must be submitted on letterhead if from an organization.

Name

Relationship to Applicant

Phone Number

Upload additional Letter of Support

Drop files here or

Accepted file types: jpg, png, pdf, docx, Max. file size: 32 MB.

APPLICANT CERTIFICATION

I certify that the information provided in this application is, to the best of my knowledge, true and correct. I have not knowingly withheld any facts or circumstances that could otherwise jeopardize consideration of this application. If selected to receive a scholarship, I give permission for the release of application materials (excluding financial information) for promotional purposes.

Signature

APPLICANT CHEKLIST

Personal Essay

HTC Letter of Recommendation/ confirmation as active patient with inherited bleeding or thrombotic disorder diagnosis/role of person signing letter

Additional Letter of Support

PARENT / GUARDIAN CERTIFICATION (if applicant is a minor)

I certify that I have reviewed the application and that all requested information has been provided. I certify that the information provided in the application is, to the best of my knowledge, true and correct.

Signature

Additional information that may be helpful to reviewers

Please note: Incomplete or late applications will not be considered.