<html><head><meta http-equiv="content-type" content="text/html; charset=utf-8"></head><body dir="auto"><br><blockquote type="cite"><div dir="ltr"><div class="gmail_quote"><blockquote class="gmail_quote" style="margin:0px 0px 0px 0.8ex;border-left:1px solid rgb(204,204,204);padding-left:1ex"><div dir="auto"><p style="margin-top:0px;margin-bottom:0px;line-height:1.2;text-align:center;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px;font-weight:bold;font-family:Georgia">Financial Assistance Application</span></p><p style="margin-top:0px;margin-bottom:0px;line-height:1.2;text-align:center;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px;font-weight:bold;font-family:Georgia">Form For </span><span style="line-height:21.6px;font-weight:bold;font-family:Georgia">State</span><span style="line-height:21.6px;font-weight:bold;font-family:Georgia"> Convention - Now</span></p><p style="margin-top:0px;margin-bottom:0px;line-height:1.2;text-align:center;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px;font-weight:bold;font-family:Georgia">Available!</span></p><p style="margin-top:0px;margin-bottom:0px;line-height:1.2;text-align:center;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px;font-weight:bold;font-family:Georgia">Submission Deadline: </span><span style="line-height:21.6px;font-weight:bold;font-family:Georgia">September</span><span style="line-height:21.6px;font-weight:bold;font-family:Georgia"> </span><span style="line-height:21.6px;font-weight:bold;font-family:Georgia">6</span><span style="line-height:21.6px;font-weight:bold;font-family:Georgia">, 2022,</span></p><p style="margin-top:0px;margin-bottom:0px;line-height:1.2;text-align:center;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px;font-weight:bold;font-family:Georgia">by 11:59</span><span style="line-height:21.6px;font-weight:bold;font-family:Georgia">pm</span></p><p style="margin-top:0px;margin-bottom:0px;line-height:1.2;text-align:justify;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px"> </span></p><p style="margin-top:0px;margin-bottom:0px;line-height:1.2;text-align:justify;color:rgb(0,0,0);font-size:18px"><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">General Information</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:1.2;text-align:justify;color:rgb(0,0,0);font-size:18px"><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">The National Federation of the Blind of Florida is offering a </span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">$200</span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia;text-decoration:line-through"><span style="line-height:28.8px;font-size:1.5em"> </span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">grant</span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em"> to </span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">first timers attending convention </span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">to offset the costs of convention attendance. Recipients of this grant must demonstrate through written and oral means a genuine interest in, and commitment to </span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">the effort of the National Federation of </span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">the </span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">Blind of Florida.</span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em"> During convention, mentors will be available upon request.</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:1.2;text-align:justify;color:rgb(0,0,0);font-size:18px"><span style="line-height:19.2px;font-weight:bold;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">Awardee </span></span><span style="line-height:19.2px;font-weight:bold;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">Requirements</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:1.2;text-align:justify;color:rgb(0,0,0);font-size:18px"><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">Recipients of the grant are expected to complete the following:</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:1.2;text-align:justify;color:rgb(0,0,0);font-size:18px"><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">• </span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">Be pre-r</span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">egister</span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">ed</span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em"> for State Convention</span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">and banquet</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:1.2;text-align:justify;color:rgb(0,0,0);font-size:18px"><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">• Attend </span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">both</span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em"> general sessions</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:1.2;text-align:justify;color:rgb(0,0,0);font-size:18px"><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">• Attend </span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">at least three</span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em"> workshops (of your choosing)</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:1.2;text-align:justify;color:rgb(0,0,0);font-size:18px"><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">• Attend </span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">Board Meeting</span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">, </span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">R</span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">esolutions </span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">meeting </span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">and Rookie Round Up</span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">. </span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">If transportation hinders your participation in any of these activities, please contact </span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">the committee chair, immediately</span></span><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">.</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:1.2;text-align:justify;color:rgb(0,0,0);font-size:18px"><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">• If assigned, assist with a convention activity</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:1.2;text-align:justify;color:rgb(0,0,0);font-size:18px"><span style="line-height:19.2px;font-size:16px;font-family:Georgia"><span style="line-height:28.8px;font-size:1.5em">• As assigned, complete a post-convention self-report activity</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:1.2;text-align:justify;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px"> </span></p><p style="margin-top:0px;margin-bottom:0px;line-height:1.2;text-align:justify;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px;font-family:Georgia"><span style="line-height:25.2px;font-size:1.5em">If i</span></span><span style="line-height:16.8px;font-size:14px;font-family:Georgia"><span style="line-height:25.2px;font-size:1.5em">nterested</span></span><span style="line-height:16.8px;font-size:14px;font-family:Georgia"><span style="line-height:25.2px;font-size:1.5em">, please s</span></span><span style="line-height:16.8px;font-size:14px;font-family:Georgia"><span style="line-height:25.2px;font-size:1.5em">ubmit </span></span><span style="line-height:16.8px;font-size:14px;font-family:Georgia"><span style="line-height:25.2px;font-size:1.5em">completed</span></span><span style="line-height:16.8px;font-size:14px;font-family:Georgia"><span style="line-height:25.2px;font-size:1.5em"> </span></span><span style="line-height:16.8px;font-size:14px;font-family:Georgia"><span style="line-height:25.2px;font-size:1.5em">a</span></span><span style="line-height:16.8px;font-size:14px;font-family:Georgia"><span style="line-height:25.2px;font-size:1.5em">pplication </span></span><span style="line-height:16.8px;font-size:14px;font-family:Georgia"><span style="line-height:25.2px;font-size:1.5em">using link below:</span></span><span style="line-height:16.8px;font-size:14px;font-family:Georgia"><span style="line-height:25.2px;font-size:1.5em"> </span></span><a href="https://docs.google.com/forms/d/e/1FAIpQLSeYdRjW477Wn9973GooKzgLOGPrH60R1PeRSj_w2LkBR7EfLQ/viewform?usp=sf_link" target="_blank"><span style="line-height:16.8px;font-size:14px;font-family:Georgia;color:rgb(5,99,193)"><span style="line-height:25.2px;font-size:1.5em">https://docs.google.com/forms/d/e/1FAIpQLSeYdRjW477Wn9973GooKzgLOGPrH60R1P</span></span><span style="line-height:16.8px;font-size:14px;font-family:Georgia;color:rgb(5,99,193)"><span style="line-height:25.2px;font-size:1.5em">e</span></span><span style="line-height:16.8px;font-size:14px;font-family:Georgia;color:rgb(5,99,193)"><span style="line-height:25.2px;font-size:1.5em">RSj_w2LkBR7EfLQ/viewform?usp=sf_link</span></span></a></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px"> </span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px;font-family:Georgia;font-weight:bold"><span style="line-height:25.2px;font-size:1.5em">Please Note: If you need assistance with application completion and/or submission, please call Denise Valkema at 305-972-852</span></span><span style="line-height:16.8px;font-size:14px;font-family:Georgia;font-weight:bold"><span style="line-height:25.2px;font-size:1.5em">9</span></span><span style="line-height:16.8px;font-size:14px;font-family:Georgia;font-weight:bold"><span style="line-height:25.2px;font-size:1.5em"> or </span></span><span style="line-height:16.8px;font-size:14px;font-family:Georgia;font-weight:bold"><span style="line-height:25.2px;font-size:1.5em">email at </span></span><a href="mailto:valkemadenise@aol.com" target="_blank"><span style="line-height:16.8px;font-weight:bold;font-size:14px;font-family:Georgia;color:rgb(5,99,193)"><span style="line-height:25.2px;font-size:1.5em">valkemadenise@aol.com</span></span></a><span style="line-height:16.8px;font-weight:bold;font-size:14px;font-family:Georgia"><span style="line-height:25.2px;font-size:1.5em"></span></span><span style="line-height:16.8px;font-size:14px;font-family:Georgia;font-weight:bold"><span style="line-height:25.2px;font-size:1.5em">or </span></span><span style="line-height:16.8px;font-size:14px;font-family:Georgia;font-weight:bold"><span style="line-height:25.2px;font-size:1.5em">contact your chapter president for support.</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px;font-family:Georgia;font-weight:bold"><span style="line-height:25.2px;font-size:1.5em">NFB Committee Chair</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;text-align:center;color:rgb(0,0,0);font-size:18px"><span style="line-height:19.2px;font-weight:bold;font-size:16px"><span style="line-height:28.8px;font-size:1.5em">NATIONAL FEDERATION OF THE BLIND OF FLORIDA</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;text-align:center;color:rgb(0,0,0);font-size:18px"><span style="line-height:19.2px;font-weight:bold;font-size:16px"><span style="line-height:28.8px;font-size:1.5em">Financial Assistance Application Form</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;text-align:center;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px"> </span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:19.2px;font-weight:bold;font-size:16px"><span style="line-height:28.8px;font-size:1.5em">Applicant Information</span></span><span style="line-height:19.2px;font-weight:bold;font-size:16px"><span style="line-height:28.8px;font-size:1.5em">:</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;margin-left:112px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Name: </span></span><span style="line-height:21.6px;padding-left:36px"></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Best Contact</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"> Phone: </span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;margin-left:112px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Address: </span></span><span style="line-height:21.6px;padding-left:36px"></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;margin-left:112px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">City, State, ZIP: </span></span><span style="line-height:21.6px;padding-left:36px"></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;margin-left:112px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">E</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">-mail:</span></span><span style="line-height:21.6px;padding-left:36px"></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;margin-left:112px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Chapter/Division: </span></span><span style="line-height:21.6px;padding-left:36px"></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;margin-left:112px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Chapter President Name:</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;margin-left:112px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Chapter President</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"> Phone Number:</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;margin-left:112px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Member Since: </span></span><span style="line-height:21.6px;padding-left:36px"></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">I am seeking assistance to attend:</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">( )</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"> </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">National</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"> Convention </span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">( )</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"> State Convention </span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">( )</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"> Other NFB</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">F</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"> Seminar/Event (Please specify event name): </span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Indicate any other sources for funding you have applied to, including Chapters of NFB</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">F</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">:</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px"> </span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Indicate Federation activities in which you have been involved in the last two </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">years,</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"> including but not limited to </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">National Convention</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">, </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">State Convention</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">, and </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Washington Seminar</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">.</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px"> </span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Indicate positions of leadership you have held: </span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px"> </span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Why </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">d</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">o </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">y</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">ou </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">w</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">ant to </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">a</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">ttend </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">this event</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">?</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px"> </span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">What </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">w</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">ould </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">y</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">ou </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">g</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">ain </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">f</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">rom </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">a</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">ttending </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">this event</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">?</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px"> </span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">How </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">d</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">o </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">y</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">ou </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">p</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">lan to </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">g</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">ive </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">b</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">ack or </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">c</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">ontribute to </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">o</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">ur </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">organization</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"> and</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">/or</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"> </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">o</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">ur</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">m</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">ovement?</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px"> </span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">NFBF reserves the right to require repayment of any award if recipient fails to attend </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">the event</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"> or complete assigned tasks. If unable to attend, recipient must inform committee immediately.</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"> </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">By signing below, I acknowledge and understand that as a condition of receiving funding, I:</span></span></p><div style="margin-top:0px;margin-bottom:0px;line-height:1.2;margin-left:36px;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px;font-family:"Times New Roman"">1. </span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Must abide by the NFB Code of Conduct and all affiliate </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">policies;</span></span></div><div style="margin-top:0px;margin-bottom:0px;line-height:1.2;margin-left:36px;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px;font-family:"Times New Roman"">2. </span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Must attend </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">required</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"> activities </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">for</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"> the event for which I am receiving </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">funding</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">;</span></span></div><div style="margin-top:0px;margin-bottom:0px;line-height:1.2;margin-left:36px;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px;font-family:"Times New Roman"">3. </span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Must work any assigned jobs, shifts, or tasks at the event that are assigned to me by the </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">NFB</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">F</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">;</span></span></div><div style="margin-top:0px;margin-bottom:0px;line-height:1.2;margin-left:36px;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px;font-family:"Times New Roman"">4. </span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Must notify NFB</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">F</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"> immediately if my plans change and I am either unable to attend the event or must shorten the duration of my participation in the </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">event;</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"></span></span></div><div style="margin-top:0px;margin-bottom:0px;line-height:1.2;margin-left:36px;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px;font-family:"Times New Roman"">5. </span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Must return any awarded funds if I do not attend the event and/or return the portion determined to be appropriate by NFB</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">F</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"> if I shorten the duration of my attendance at the </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">event;</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"></span></span></div><div style="margin-top:0px;margin-bottom:0px;line-height:1.2;margin-left:36px;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px;font-family:"Times New Roman"">6. </span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">A</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">m responsible for </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">arranging </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">my</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"> </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">own </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">lodging </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">and </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">transportation;</span></span></div><div style="margin-top:0px;margin-bottom:0px;line-height:1.2;margin-left:36px;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px;font-family:"Times New Roman"">7. </span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Should I violate any of the above requirements, NFB</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">F</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"> </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">may </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">rescind any financial assistance it has committed</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">. </span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">I am responsible for my own costs and repaying any costs NFB</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">F</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"> has already paid on my behalf, and I am not eligible for financial assistance from NFB</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">F</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em"> in the future.</span></span></div><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px"> </span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Signature of Applicant: (</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Typing your name here will suffice as your signature</span></span><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">)</span></span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:21.6px"> </span></p><p style="margin-top:0px;margin-bottom:0px;line-height:21.6px;color:rgb(0,0,0);font-size:18px"><span style="line-height:16.8px;font-size:14px"><span style="line-height:25.2px;font-size:1.5em">Date</span></span></p>—<br><div dir="ltr">Thanks, </div><div dir="ltr">Denise Valkema<div>(305)972-8529<br><div><br></div></div></div><div dir="ltr"></div></div></blockquote></div></div></blockquote></body></html>