NFB EQ Application

Thank you for your interest in the 2020 NFB EQ program. Please complete the application below. If you have questions, check out our EQ FAQ page, or contact us at 410-659-9314, extension 2418 or at stem@nfb.org

Student Information

Contact 1
*
*
*
- Optional
*
*
*

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).

*
*
*
Birth Date:*
- Optional
- Optional
- Optional
- Optional
*

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.
Ethnicity *
*

Background Information

*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
- Optional
- Optional
- Optional

Medical and Vision Information

*
- Optional

Guardian Information

*
*
*
*