Educational Assistance

The Ryan Nicolaisen
Memorial Scholarship

Funded by Ethical Factor Rx • Administered by Free Bleeders Inc.

Ethical Factor RX — Founding Sponsor

About This Scholarship

Established in memory of Ryan Nicolaisen — who lived with hemophilia A and faced HIV, hepatitis C, and liver cancer from tainted blood exposure — this scholarship honors those who show resilience in the face of a bleeding disorder diagnosis.

"Ryan believed that illness should never define a person's potential. This fund ensures his spirit lives on through your dreams."

This Scholarship Honors:

  • Strength through adversity
  • Commitment to education
  • Perseverance in chronic illness

Eligibility Requirements

Diagnosed with a bleeding disorder

Demonstrates financial need

Pursuing college or vocational training

Shows resilience and determination

Free Bleeders Inc.

Educational Assistance Application

Empowering Women to Become the CEO of Their Health

Section 1: Applicant Information

Data Privacy Notice

Your privacy is important to us. The information collected through this form will be used solely for managing educational assistance distribution. We collect registration details to process your request securely in Google Drive. Your data will not be shared with third parties without your written consent.

Section 2: Medical Eligibility

Confidential Medical Information Notice

The following questions are used strictly to determine your eligibility for financial coverage. All health-related data is treated as Protected Health Information (PHI). Access is restricted to authorized administrative personnel on a strict "need-to-know" basis.

Section 3: Program Details

Section 4: Statement of Purpose

Section 5: Budget Breakdown

Itemize how the funds will be allocated. Include local currency indicators.

Section 6: Certification & Signatures

Section 7: Supporting Documentation

Please upload your files to ImgBB.com or a secure cloud link (Google Drive/Dropbox), then paste the direct code/URL address below. Alternatively, you may email files straight to info@freebleeders.org.

Medical Disclaimer: Free Bleeders Org is a 501(c)(3) nonprofit dedicated to clinical bleeding disorders, providing support and advocacy for conditions such as Hemophilia, Von Willebrand Disease, and Sickle Cell. We are not affiliated with the "free bleeding" menstruation movement. Our mission is strictly focused on clinical hematological health and life-saving medical advocacy.