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el-mn-application-09-10-21-form.pdf
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    Eye-Link Minnesota Assistive Equipment Grant 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 grant 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 or fill it out on-line at mn.eye-link.org. You
    may request a copy in Braille or large print by calling Eye-Link Minnesota at 763-561-6967.
    Being registered with Minnesota State Services for the Blind (SSB) as active or inactive is
    recommended. Eye-Link Minnesota works closely with SSB counselors to determine need
    and available services. If your request has been denied by SSB or an equivalent organization,
    a letter of denial should accompany your Eye-Link Minnesota grant application.
    Please fill out the form below and send your completed application to:

    Eye-Link Minnesota
    Jeff Thompson
    6835 East River Road, Fridley, MN 55432
    Or email to: Jeff Thompson


    Active and inactive clients of SSB please answer the following questions:
    If applicable, please attach a copy of your letter of denial from SSB or an equivalent 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
    I give Eye-Link Minnesota representatives permission to contact my SSB Counselor on questions related to the specific equipment that I am requesting Eye-Link purchase for me.
    For more information about the application process, call Jeff Thompson at 612-554-2530
    To find out more about Eye-Link Minnesota, visit us online at: mn.eye-link.org


Submit

CONTACT US

SEND APPLICATIONS TO:

Board of Directors

Mail donations to:
Eye-Link Minnesota
PO Box 43985
Minneapolis, MN 55443


Our email address is: justesen1@comcast.net
Call us: 763-561-6967
Eye-Link Minnesota
Attn:
Jeff Thompson
6835 East River Road
Fridley, MN 55432

Jim Justesen, President
Jodie H. Kalla, Secretary
Kelly McCrary, Director
Jack W. Weber, Director
Jeffrey Thompson, Director Applications
Tim Dallmann, Director Corporate/Foundation Development
Erik Jothen, Treasurer
Anne Justesen, Director Donor Development
Thomas Mason, Director Social Media

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