S.H.O.U.T. International: Scleros Helping Others Unite Together

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Apply

How to apply

Applicants can download the Application below. Applicants must Download, fill out application, scan and return completed application to scleros@shoutinternational.org. 


There are several requirements for applicants.

*Be a Scleroderma patient 

*In need of suitable assistance. 

 All  applications are reviewed and considered for a S.H.O.U.T. International  Award.

*Application MUST be signed and dated  and include ALL required documents. 

*Applicants must be 18 and older to apply. Lack of complete documentation will  result in disqualifications.


All Awards are restricted to only Scleroderma patients who qualify.

Application

S.H.O.U.T. International Patient Application

shout patient application pa71202 3/21(1) (docx)

Download

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