Loading...

The Matthew Harty Memorial Scholarship, sponsored by MitoAction

Print Friendly, PDF & Email

Matthew Harty Scholarship Logo

"*" indicates required fields

Name of Applicant*
Applicant Address*
Please use the following format: XX/XX/XXXX
What is your mito diagnosis?*
High School Location*
Please use your most recent GPA
College Location*
If you have already enrolled for the fall semester, please attach proof of enrollment. This is not required to receive the scholarship, but must be sent before award is issued.
Max. file size: 2 GB.
If you have a physician letter already, you may upload it here, otherwise, your physician should email it to scholarship@mitoaction.org or fax to (888) 648-6228.
Max. file size: 50 MB.
(sports, music, art, work, hobbies, etc.). You may include this as an attachment if necessary.
Please upload here if needed.
Max. file size: 2 GB.
(especially those that impact children and teens with chronic medical conditions or special needs). You may include this as an attachment if necessary.
Please upload here if needed.
Max. file size: 50 MB.
How will the Matthew Harty scholarship help you to succeed in college and how has mitochondrial disease affected your life and your education in a way that can help you to be a source of inspiration to others struggling with the disease?
Max. file size: 2 GB.
Photo will only be used if you are a recipient.
Max. file size: 2 GB.
This field is for validation purposes and should be left unchanged.