Application

Eye-Link Minnesota provides adaptive technology and assistive equipment grants to residents of Minnesota who are experiencing uncorrectable sight loss or who are legally Blind. The Eye-Link Minnesota Board of Directors reviews and makes decisions on grant applications on an as-received basis. Their decisions are final. Applicants will be notified of their status within two business days following the Board review. Grants may include either new or refurbished adaptive equipment. The Eye-Link Minnesota Board reserves the right to deny funding of a grant for any reason.

You may PRINT a copy of this grant application. You may request a copy in Braille or large print by calling Eye-Link Minnesota at 763-561-6967.

You should be registered, either as active or inactive, with Minnesota State Services for the Blind (SSB). You should have been turned down or denied by SSB or an equivalent organization for the adaptive equipment which you are applying. A copy of your “Denial” letter or document from SSB or an equivalent from a related organization must accompany your grant application. The Board does not accept grant applications without an associated denial document from State Services for the Blind.

Active and inactive clients of SSB please answer the following questions:

How was your need for this equipment and/or training determined? *

If you were denied by SSB, what reason were you given for being denied? *

What type, model or description of adaptive technology and/or training are you requesting from Eye-Link Minnesota? *

Have you ever been a member of the Armed Forces or Reserves? *

Yes No

If yes, what branch? *

Please attach a copy of your letter of denial from SSB or a Counselor to this application! NOTE: Your application will not be processed if a letter of denial is not attached or until received! Please mail to the following address:

Eye-Link Minnesota
C/O Jeff Thompson
6835 East River Road
Fridley, MN 55432

minnesota_application_rev_01_08_2021.pdf
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Eye-Link Minnesota Assistive Equipment Grant Application

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