2017 NFB BELL Academy Prospective Affiliate Application

Required field(s) are indicated by an *.

State Coordinator

A state coordinator must be able to handle all the preparations for the program as well as be present during the weeks of implementation. It is imperative that this individual has agreed to this responsibility before you can submit your state’s application.


When considering the questions in this section, you may want to consider a location that has kitchen facilities, a playground, and a large work/activity space to accommodate the size of your intended program. Selecting "No" will not necessarily impact your state’s chances for selection if you can guarantee that you can secure a location by the time of the program.



Please type your name in the box to indicate that you have completed this application to the best of your ability, and that your state president is aware of the submission of this application, and he or she fully supports the prospective BELL program in your state.