Bennett Independent Living Grant Application – All Blind Children of Texas

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

First

Last

Date

Primary Email

Primary Phone

Ex. (555)555-5555

Address

City

State/Province

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

Short Summary of Needs

High School Graduated From

Higher Education Institution or Trade School, Currently Attending (if any)

Category of Needs (Check All That Apply)

The Bennett Independent Living Grant Application