Recognizing academic achievementin the rare disease community

Scholarship Application

Scholarship Application


 

Applicant Information

If the applicant has all required materials completed (personal statement, physician diagnosis letter, transcript, and recommendation) then the application process should take about 20-40 minutes. Please plan on completing the application in one sitting as your work will not be saved if you need to close the browser window.

High School Information

If applicable, please convert to 4.0 scale

To find your board code #, visit here

College Information

Please fill out the below information if you have completed any US College or Vocational school course work. If you have not yet started college, skip to the Activities Section.

If applicable, please convert to 4.0 scale

School/Community Activities

Please list up to 20 of the most meaningful school or community activities you have participated in, or awards you have received, over the past 4 years.

Work Experience

Please list the full or part-time work you have had during the past 4 years.

File Upload

Transcript and Recommendation

You must submit a transcript or copy of your grades (unofficial transcripts are accepted) and recommendation from your teacher, guidance counselor or college professor.

Acceptable file formats are .doc, .docx, .pdf, .jpeg, .jpg

Select files...
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Personal Statement

We recognize the impact a rare disease can have on your life. The Shire ACES scholarship will take into consideration not only your academic achievements but also how you have overcome challenges. In 1000 words or less please describe an instance in which you have had a chance to overcome a barrier or challenge presented by your rare disease, or had a chance to shine despite challenges presented by your rare disorder.

Acceptable file formats are .doc, .docx, .pdf, .jpeg, .jpg

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Physician Letter

You must include a letter from your treating physician (with his or her signature and NPI Number) confirming your diagnosis with one of the specified eligible rare diseases. To qualify for the award, you will need to provide appropriate permission for Shire and Scholarship Managers to confirm your diagnosis with your treating physician.

Acceptable file formats are .doc, .docx, .pdf, .jpeg, .jpg

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Impact Statement (optional)

Rare disease patients often miss school or work or have limitations regarding activities in which they can participate. Please feel free to write an optional impact statement (300 words or less) telling us about any disease-related complications such as missing school, work, or participation in extracurricular activities, that impacted your achievements. This optional statement should describe complications such as hospital stays, doctor visits, or limitations you experience due to living with a rare disorder that have an impact on your academic or personal achievements.

Acceptable file formats are .doc, .docx, .pdf, .jpeg, .jpg

Select files...

Affidavit

Clicking in front of "I Agree" below affirms that (1) I am a US citizen or legal and permanent resident of the US; (2) I am not a Shire employee or an immediate family member of a Shire employee; and (3) all the information provided in this application and supporting documents is true and complete to the best of my knowledge and none of the information provided, including my personal statement, infringe the rights of any third party. If requested, I will provide proof. Failure to provide this proof shall invalidate this application and result in termination of any aid granted. I confirm that my personal statement is true, has not been plagiarized, and does not violate any copyright.


Thank you for applying to the Shire ACES Scholarship Program. This confirms receipt of your application materials. All applicants will be notified after April 1, 2019 about the results of the selection process. Good luck!

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