Ray Ballard TRAVEL Scholarship Application


SCID Angels is proud to offer the Ray Ballard Travel Scholarship Program for SCID patients or SCID families wishing to attend a SCID meeting or event in the U.S.  Ray was 25 years old when he lost his courageous battle in 2019 to Severe Combined Immune Deficiency.  Those who had the honor of meeting Ray know that he was made of hope, inspiration, resiliency and an unforgettable strength.  SCID provided many challenges for Ray, especially during the past three years, but he never let that stop him from truly living.

The purpose of this scholarship fund is to provide SCID patients and families assistance with their travel to/from a meeting or event where SCID discussion will be taking place.  Some of my fondest memories of Ray are from previous SCID conferences or IDF meetings, which he frequently attended, and where he’d be known to dance the night away.  

Those interested in applying for a SCID travel scholarship are asked to complete the application below.  Please allow up to 4 weeks to hear about all funding requests and please know that all requests are for travel within the United States and are for U.S. citizens only.  Please email any questions to Heather@SCIDAngelsforlife.com.

Anyone wishing to make a contribution to the Ray Ballard SCID Travel Scholarship Fund can do so now by clicking the Donate button below or by writing a check payable to SCID, Angels for Life Foundation and mailing their contribution to:
Ray Ballard Travel Scholarship Fund
C/O SCID Angels for Life Foundation
2424 Heritage Lakes Court
Lakeland, FL 33803

Ray Ballard Travel Scholarship Application

First Name:
Last Name
Email Address:
Mailing Address:
How many people (including yourself) will be attending the meeting or event?
First and last names of ALL immediate family members (including yourself) who are requesting airfare or travel assistance?
Have you applied for a scholarship from SCID Angels before Yes
No
If you answered Yes to receiving a scholarship from SCID Angels before, please list what for?
What is the Name of the event or meeting you are requesting Travel assistance for?
What is the Date of this event or meeting?
Are you applying for any other scholarships for this particular event or meeting? Yes
No
If you answered YES to applying for another scholarship, please specify what ones?
If Yes, do you know the status of that application? Yes
No
What type of Travel scholarship are you requesting from SCID Angels at this time? Airfare
Mileage reimbursement
Other
How do you plan to travel (by plane, car, bus or train)?
If you plan to travel by car, what is the estimated total mileage roundtrip?
Additional comments or other information that you consider important:
What form of SCID do you or your child have?
Please use this space to briefly describe your financial need and the benefit you hope to derive from attending this meeting or event?

Please allow a minimum of 4 weeks for processing.

The maximum value of a TRAVEL scholarship is $1,000/family and can only be used to purchase travel to/from the meeting or event that is listed on this application. 

This scholarship is for Travel only, all other expenses are the responsibility of the applicant.

If the airline tickets you purchase are over $1,000, you are responsible for the remaining balance.

 

 

You are responsible for booking your own travel.

Once you’ve emailed a copy of your paid transportation receipt to SCID Angels a check will be sent to the purchaser for the total amount, not to exceed $1,000.

Again, you must book and purchase your travel before you will receive any reimbursement from SCID Angels. 

If you do not purchase your transportation and email a copy of your paid receipt to Heather@SCIDAngelsforlife.com within 4 weeks of receiving your scholarship approval, the scholarship is automatically voided and has no cash value. 

Email receipts to Heather@SCIDAngelsforlife.com or fax to 863-647-9537.

By checking here, I acknowledge I've read and understand the above terms.