DONATE About Us Grants Fall Fundraiser News Feed Resources Contact Us The Bennett Independent Living Grant Application The Bennett Independent Living Grant Application 0% Complete1 of 5 Grant Request Requirements (All must apply) * 1. You are a registered student or recent graduate in the state of Texas, who is blind or visually impaired 2. You are between the ages of 18-22 years 3. Your funding needs are outside the capabilities of your local school district, clubs, groups or other community organizations 4. The money requested will work towards your optimal physical, mental, emotional, and social development Name * Name First First Last Last Date * Primary Email * Primary Phone * Ex. (555)555-5555 Address Address Address Address City City State/Province Texas AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal How did you hear about All Blind Children of Texas? * Internet search I have applied for funding before. The name of the project (and if it was accepted) was:I have applied for funding before. The name of the project (and if it was accepted) was: I was referred by a TVI or VI proffessional. The name of the person or organization is:I was referred by a TVI or VI proffessional. The name of the person or organization is: OtherOther High School Graduated From * Higher Education Institution or Trade School, Currently Attending (if any) Date the Funds Will Be Needed By * City/State Where Funds Will Be Used * $ Amount Requested from All Blind Children of Texas * Category of Needs (Check All That Apply) * Assistive Technology Transportation Independent Living Support Further Education Career Advancement Social Interaction Support Recreation and Leisure Compensatory Skills Development If you are human, leave this field blank. Next Δ
