National Federation of the Blind 2014 Braille Enrichment for Literacy and Learning (BELL) Program Application

The application process for all NFB BELL programs contains three steps. Additionally, please note that the facilitators of the NFB BELL program in your area may opt to conduct an interview or collect additional information about your child before accepting your child into the program. Application, selection, and registration processes differ from state to state, so please contact your state coordinator (information below) with any questions you have about the process. However, the three steps outlined below are required for students applying to ALL NFB BELL programs:

  1. Complete the general application below. This form will ask you to provide your contact information, as well as information about the student (i.e., grade, age, interests, any medical needs, etc.). This information allows the NFB BELL team to learn a little about the student.
    1. After you complete step one, you will receive an email containing a link to the last online form that needs to be completed.
  2. Complete the permissions and releases form: The information in this form provides us with all of the detailed information that we will need to meet your child’s needs. This form contains the following: general release, sunscreen release, medical release, medical history and health insurance information, program expectations, media release, transportation release, and student pick-up release.
  3. After completing step two, you will receive an email containing a copy of all of the information you provided in the permissions and releases form. You must print, sign, and return the entire contents of that email to your state coordinator. Contact information for your state coordinator will appear at the top of the email. Additionally, you can find all of your state coordinator’s contact information by visiting www.nfb.org/BELL and following the link for your state.

The application process will take approximately 20-30 minutes. You may wish to have your child’s IEP or latest progress report to assist you in answering the questions related to your child’s knowledge of Braille and other nonvisual skills.

Thank you for your time in completing these forms. All of the information we request is necessary to run fun, educational, and safe programs for our students.

Student's Date of Birth *
Please tell us about any medical conditions or disabilities your child has other than blindness. Please include information such as: the existence of orthopedic impairments (i.e. your child uses a wheelchair or has limited use of his/her arm), medications that will need to be taken during the program.