Adaptive Technology Grant Application

Adaptive Technology Grant Program

MCB's matching grant program helps legally blind Missourians purchase adaptive hardware and software that promotes independence.

50%

Match for MCB members

25%

Match for non-members

$3,000

Max per 5 years

Covered technology includes: screen readers, braille displays, magnification software, scanning systems, refreshable braille devices, talking devices, and qualifying computer systems required for adaptive technology.

Not covered: previously owned equipment, purchases made before grant approval, or items unrelated to adaptive technology needs.

Adaptive Technology Program Details

Required field

Personal Data

First Name

Last Name

Phone

Address Line 1

Address Line 2

City

State

ZIP Code

Visual Status

Membership

Membership Status

Affiliate Member

Member at Large

Not an MCB Member

If affiliate member, which affiliate?

Application Information

Have you previously received an MCB Adaptive Technology grant?

Yes

If yes, date of last award

Describe previous purchase

Grant Amount Requested

Minimum $50. Max $3,000 over 5 years.

Describe the Adaptive Technology you plan to purchase

Preferred Vendor

Statement of Agreement

I have read the MCB Adaptive Technology Grants Program guidelines and I understand and agree to all terms and conditions. All information I have listed on this application is accurate to the best of my knowledge. I understand that any failure to comply with the program guidelines may void this application or render me ineligible for a matching funds grant.

I agree to the Statement of Agreement above.

Download a Form

Printable PDF (PDF, 34 KB)Word Document (Word, 48 KB)

Fill in the Word document on your computer and email it to aa@moblind.org.

Mail application + supporting docs to:

Missouri Council of the Blind
Adaptive Technology
5453 Chippewa Street
St. Louis, MO 63109

Supporting Documents Required

Technology specifications
Price quotes from 2 vendors
Legal blindness verification
Signed Release of Information form

Questions?

(314) 832-7172

(800) 342-5632

moblind@moblind.org