National Federation of the Blind 2018 EQ Application

Thank you for your interest in the NFB 2018 EQ program. Please complete the following application below; you will receive an email confirmation of your submission upon completion.

Required field(s) are indicated by an *.

Student Information

Please make sure your phone number(s) and email address are correct as we will need accurate information to contact you. The phone number(s) and email listed should be for the applicant (not guardian).
Date of Birth *

Grant Reporting

The National Federation of the Blind pursues grant funding to support its programs, and some of these grantors ask us to describe the racial/ethnic/socioeconomic backgrounds of our students. In order to improve our program delivery and to respond to these requests, we ask you to answer the following questions:

Background Information

Medical and Vision Information

Guardian Information