John W. Cavanaugh Scholarship Application

John W. Cavanaugh Scholarship Information

This scholarship is provided to our community in memory of John W. Cavanaugh. John worked full time while raising a family and attending Northeastern University to earn a college degree. He never let his hemophilia stop him from striving to provide a better life for himself and his family. Read John’s full story here.

This is intended only for adults who are looking to continue to their education via college, trade school, or continuing education classes. This is not intended for high school students.

The applicant must:

Be a United States citizen or legally living permanently in the United States.
Be a member of the New England Hemophilia Association. Become a Member here.
Be one of the following:
- An adult diagnosed with a bleeding disorder.
- A parent/caregiver of someone with a bleeding disorder.
- The spouse of someone with a bleeding disorder.

Previous recipients of this scholarship may reapply throughout their undergraduate career, but preference will be given to first-time applicants.

This application must be submitted on or before April 1.

Please contact Brandon Greene at [email protected] with any questions about the scholarship or application process.

Applicant Full Name*
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Birth (MM/DD/YYYY)*
Phone Number*
Email Address*
Please check the statement that applies to you:*
Membership Status*
Employment Information
Work Experience*
Please list your work experience during the past three years and dates of employment. Please use the following format: Company Name, Position, Start Date, End Date.
Educational Information
I plan to attend:*
Name of School*
This can be where you are currently enrolled, where you plan to enroll, or if unknown, please list in order of preference the schools to which applications for admission have been sent.
Area of Study
What major or course of study do you plan to pursue, and why have you chosen it?
Goals and Aspirations
How will continuing your education relate to your career objectives and future goals?*
How has the bleeding disorder impacted your life?*
How has it impacted your goals, career, or participation in academic or community activities?*
How have you given back or plan to give back to the bleeding disorders community?*
Is there anything else you would like us to know while reviewing your application?*
References
Your information will not be reviewed unless a reference has been submitted to support your application. Please send them the link to this page. The reference form is located at the bottom of this page. References should be submitted only by the person making the referral and not by the applicant.
Submission
By placing your full name in the box below and in submitting this application, I certify that the information provided is complete and accurate to the best of my knowledge. Falsification of information may result in termination of any scholarship granted.
Full Name*
Today's Date*

Scholarship Reference Information

Scholarship Applications will only be considered if a reference form is submitted to support the applicant.

Note: the following form should only be completed by someone in your community. who recommends you for this scholarship. This includes: an employer, administrator, teacher, doctor, HTC staff member, social worker, community leader, or any other person outside of your family who can attest to your character or work ethic.

John W. Cavanaugh Reference Form

Reference Full Name
Reference Phone Number
Reference Email Address
Name of the Applicant
How long have you known the applicant?
In what capacity do you know the applicant?
I recommend the applicant for this scholarship:
What are the applicant’s greatest strengths?
What characteristics of the applicant might present the greatest difficulties to them as they continue their education?
Other observations or remarks about the applicant:
Reference Electronic Signature
Please type your full name to serve as your signature for this reference form.
Today's Date

John W. Cavanaugh Scholarship Information