ND School for the Blind Foundation
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Online Grant Application
Card Contest
Deadline for submitting proposals is February 2, 2024.
Awards will be announced approximately April 1, 2024.
Online Grant Application
I. Requester of Grant Funds (Your Information)
Are you completing this grant request for yourself?
*
Yes (Skip to Section II)
No
*
Indicates required field
Name of Person Completing Grant Request
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First
Last
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
II. Information on Grant Recipient
Name
*
First
Last
Address (We will use this as the shipping address for grant recipients unless otherwise specified in comments section)
*
Line 1
Line 2
City
State
Zip Code
Country
Your Relationship to Student / Adult
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Teacher
Parent
Other: Please specify below
Other
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School or Educational Program
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Current Grade (If applicable)
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Age
*
III. General Description of Request
We would like applicants to do their best to limit the number of vendors to one (1). We appreciate and understand applicants shopping around to save the NDSB Foundation money, but it takes considerably more time when ordering and tracking items. We reserve the right to use our own discretion to switch vendors when ordering if more than one vendor is listed. Thank you for understanding!
We are no longer asking for permission to publicly publish names.
At this time, we do not accept links to items, wishlists, shopping carts. Requests must be typed out in an organized manner.
You also have the option to upload a document with requested item(s) or information that would be helpful to the grant committee. You may also upload order forms.
Make sure prices, product numbers, and addresses are accurate and complete, as this will be used to order and pay for the items requested.
The "Ship To" address on the order form should be the student's home address. Most companies will not ship to PO addresses so make sure you have an alternative address.
If multiple items are being requested, prioritize and number accordingly. Be sure to include quantity, item number, item description, cost of items and total amount requested including taxes and shipping. Below are a couple of examples to follow:
Vendor: MaxiAids
1. 79150 Beep Foam Football $35.95
2. 1*85555 Medium Clear Dots (5 X 2.65) $13.25
3. 8025720 Big Keys Keyboard $169.00
Subtotal: $218.20
Tax: $18.82
Shipping: $13.00
Total: $ 250.02
Vendor: Amazon
1. Edushape Sensory See-Me Ball, 7 Inch Color: Blue $13.29
2.
Learning Resources Ruff's House Teaching Tactile Set, 30 Pieces $17.59
Subtotal: $30.88
Tax: $1.14
Shipping: FREE
Total: $32.02
Requested Items (For Required Format See Examples Above)
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Name of Vendor Item Number Subtotal Tax Shipping Total
TOTAL DOLLAR AMOUNT REQUESTED
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Uploaded File (Use this if you choose to upload an order form)
*
Max file size: 20MB
IV. Detailed Description of Request
Describe the recipient's need for what is being requested. How does it address the recipient's educational needs?
How frequently, to what extent, and for how long will the applicant benefit from this?
Comment
*
What other sources of funding have been investigated?
*
V. Certification of Visual Impairment
To be filled out and signed by
applicant's Optometrist, Ophthalmologist, or Teacher of the Blind and Visually Impaired.
Please describe the person’s visual impairment and the extent to which it affects his/her functioning.
Failure to complete this section will disqualify the student from receiving a grant.
Description of Visual Impairment
*
By checking the "I Accept" you are signing this documentation electronically. You agree that your electronic signature is the equivalent of your manual signature and the
information provided is true to the best of your knowledge.
Choose Any
*
I Accept
Electronic Signature
*
Additional Comments or Questions
*
Submit
Home
History and Mission
Board Members
Projects
How to Donate
Contact Us
Members Page
Grants
General Grant Information
Downloadable Grant Application
Online Grant Application
Card Contest