<html><head><meta http-equiv="content-type" content="text/html; charset=utf-8"></head><body dir="auto"><br><br><div dir="ltr">Thank you<div><br></div><div>Jorge Hernandez </div></div><div dir="ltr"><br>Begin forwarded message:<br><br></div><blockquote type="cite"><div dir="ltr"><b>From:</b> DENISE VALKEMA via NFBF-Leaders <nfbf-leaders@nfbnet.org><br><b>Date:</b> September 4, 2022 at 10:51:06 AM EDT<br><b>To:</b> NFBF <nfbf-l@nfbnet.org>, NFBF <nfbf-leaders@nfbnet.org><br><b>Cc:</b> DENISE VALKEMA <valkemadenise@aol.com><br><b>Subject:</b> <b>[NFBF-Leaders] Financial Assistance for State Convention deadline approaching</b><br><b>Reply-To:</b> NFB of Florida Internet Mailing List <nfbf-l@nfbnet.org><br><br></div></blockquote><blockquote type="cite"><div dir="ltr"><meta http-equiv="content-type" content="text/html; charset=utf-8">Take the google link below, fill out the application in body of email or fill out attached form.<div><br><blockquote type="cite"><div dir="ltr"><div dir="ltr"><blockquote type="cite"><div dir="ltr"><p class="s3" style="margin-top: 0px; margin-bottom: 0px; line-height: 1.2; text-align: center; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s2" style="line-height: 21.600000381469727px; font-weight: bold; font-family: Georgia;">Financial Assistance Application</span></p><p class="s3" style="margin-top: 0px; margin-bottom: 0px; line-height: 1.2; text-align: center; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s2" style="line-height: 21.600000381469727px; font-weight: bold; font-family: Georgia;">Form For </span><span class="s2" style="line-height: 21.600000381469727px; font-weight: bold; font-family: Georgia;">State</span><span class="s2" style="line-height: 21.600000381469727px; font-weight: bold; font-family: Georgia;"> Convention - Now</span></p><p class="s3" style="margin-top: 0px; margin-bottom: 0px; line-height: 1.2; text-align: center; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s2" style="line-height: 21.600000381469727px; font-weight: bold; font-family: Georgia;">Available!</span></p><p class="s3" style="margin-top: 0px; margin-bottom: 0px; line-height: 1.2; text-align: center; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s2" style="line-height: 21.600000381469727px; font-weight: bold; font-family: Georgia;">Submission Deadline: </span><span class="s2" style="line-height: 21.600000381469727px; font-weight: bold; font-family: Georgia;">September</span><span class="s2" style="line-height: 21.600000381469727px; font-weight: bold; font-family: Georgia;"> </span><span class="s2" style="line-height: 21.600000381469727px; font-weight: bold; font-family: Georgia;">6</span><span class="s2" style="line-height: 21.600000381469727px; font-weight: bold; font-family: Georgia;">, 2022,</span></p><p class="s3" style="margin-top: 0px; margin-bottom: 0px; line-height: 1.2; text-align: center; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s2" style="line-height: 21.600000381469727px; font-weight: bold; font-family: Georgia;">by 11:59</span><span class="s2" style="line-height: 21.600000381469727px; font-weight: bold; font-family: Georgia;">pm</span></p><p class="s4" style="margin-top: 0px; margin-bottom: 0px; line-height: 1.2; text-align: justify; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span style="line-height: 21.600000381469727px;"> </span></p><p class="s4" style="margin-top: 0px; margin-bottom: 0px; line-height: 1.2; text-align: justify; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">General Information</span></span></p><p class="s4" style="margin-top: 0px; margin-bottom: 0px; line-height: 1.2; text-align: justify; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">The National Federation of the Blind of Florida is offering a </span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">$200</span></span><span class="s6" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia; text-decoration: line-through;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;"> </span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">grant</span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;"> to </span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">first timers attending convention </span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; 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 class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">the effort of the National Federation of </span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">the </span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">Blind of Florida.</span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;"> During convention, mentors will be available upon request.</span></span></p><p class="s4" style="margin-top: 0px; margin-bottom: 0px; line-height: 1.2; text-align: justify; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s7" style="line-height: 19.200000762939453px; font-weight: bold; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">Awardee </span></span><span class="s7" style="line-height: 19.200000762939453px; font-weight: bold; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">Requirements</span></span></p><p class="s4" style="margin-top: 0px; margin-bottom: 0px; line-height: 1.2; text-align: justify; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">Recipients of the grant are expected to complete the following:</span></span></p><p class="s4" style="margin-top: 0px; margin-bottom: 0px; line-height: 1.2; text-align: justify; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">• </span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">Be pre-r</span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">egister</span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">ed</span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;"> for State Convention</span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">and banquet</span></span></p><p class="s4" style="margin-top: 0px; margin-bottom: 0px; line-height: 1.2; text-align: justify; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">• Attend </span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">both</span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;"> general sessions</span></span></p><p class="s4" style="margin-top: 0px; margin-bottom: 0px; line-height: 1.2; text-align: justify; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">• Attend </span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">at least three</span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;"> workshops (of your choosing)</span></span></p><p class="s4" style="margin-top: 0px; margin-bottom: 0px; line-height: 1.2; text-align: justify; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">• Attend </span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">Board Meeting</span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">, </span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">R</span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">esolutions </span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">meeting </span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">and Rookie Round Up</span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">. </span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">If transportation hinders your participation in any of these activities, please contact </span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">the committee chair, immediately</span></span><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">.</span></span></p><p class="s4" style="margin-top: 0px; margin-bottom: 0px; line-height: 1.2; text-align: justify; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">• If assigned, assist with a convention activity</span></span></p><p class="s4" style="margin-top: 0px; margin-bottom: 0px; line-height: 1.2; text-align: justify; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s5" style="line-height: 19.200000762939453px; font-size: 16px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">• As assigned, complete a post-convention self-report activity</span></span></p><p class="s4" style="margin-top: 0px; margin-bottom: 0px; line-height: 1.2; text-align: justify; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span style="line-height: 21.600000381469727px;"> </span></p><p class="s4" style="margin-top: 0px; margin-bottom: 0px; line-height: 1.2; text-align: justify; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s8" style="line-height: 16.799999237060547px; font-size: 14px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">If i</span></span><span class="s8" style="line-height: 16.799999237060547px; font-size: 14px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">nterested</span></span><span class="s8" style="line-height: 16.799999237060547px; font-size: 14px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">, please s</span></span><span class="s8" style="line-height: 16.799999237060547px; font-size: 14px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">ubmit </span></span><span class="s8" style="line-height: 16.799999237060547px; font-size: 14px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">completed</span></span><span class="s8" style="line-height: 16.799999237060547px; font-size: 14px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> </span></span><span class="s8" style="line-height: 16.799999237060547px; font-size: 14px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">a</span></span><span class="s8" style="line-height: 16.799999237060547px; font-size: 14px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">pplication </span></span><span class="s8" style="line-height: 16.799999237060547px; font-size: 14px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">using link below:</span></span><span class="s8" style="line-height: 16.799999237060547px; font-size: 14px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> </span></span><a href="https://docs.google.com/forms/d/e/1FAIpQLSeYdRjW477Wn9973GooKzgLOGPrH60R1PeRSj_w2LkBR7EfLQ/viewform?usp=sf_link"><span class="s9" style="line-height: 16.799999237060547px; font-size: 14px; font-family: Georgia; color: rgb(5, 99, 193);"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">https://docs.google.com/forms/d/e/1FAIpQLSeYdRjW477Wn9973GooKzgLOGPrH60R1P</span></span><span class="s9" style="line-height: 16.799999237060547px; font-size: 14px; font-family: Georgia; color: rgb(5, 99, 193);"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">e</span></span><span class="s9" style="line-height: 16.799999237060547px; font-size: 14px; font-family: Georgia; color: rgb(5, 99, 193);"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">RSj_w2LkBR7EfLQ/viewform?usp=sf_link</span></span></a></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span style="line-height: 21.600000381469727px;"> </span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s10" style="line-height: 16.799999237060547px; font-size: 14px; font-family: Georgia; font-weight: bold;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; 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 class="s10" style="line-height: 16.799999237060547px; font-size: 14px; font-family: Georgia; font-weight: bold;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">9</span></span><span class="s10" style="line-height: 16.799999237060547px; font-size: 14px; font-family: Georgia; font-weight: bold;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> or </span></span><span class="s10" style="line-height: 16.799999237060547px; font-size: 14px; font-family: Georgia; font-weight: bold;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">email at </span></span><a href="mailto:valkemadenise@aol.com"><span class="s11" style="line-height: 16.799999237060547px; font-weight: bold; font-size: 14px; font-family: Georgia; color: rgb(5, 99, 193);"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">valkemadenise@aol.com</span></span></a><span class="s12" style="line-height: 16.799999237060547px; font-weight: bold; font-size: 14px; font-family: Georgia;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"></span></span><span class="s10" style="line-height: 16.799999237060547px; font-size: 14px; font-family: Georgia; font-weight: bold;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">or </span></span><span class="s10" style="line-height: 16.799999237060547px; font-size: 14px; font-family: Georgia; font-weight: bold;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">contact your chapter president for support.</span></span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s10" style="line-height: 16.799999237060547px; font-size: 14px; font-family: Georgia; font-weight: bold;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">NFB Committee Chair</span></span></p><p class="s14" style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; text-align: center; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s13" style="line-height: 19.200000762939453px; font-weight: bold; font-size: 16px;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">NATIONAL FEDERATION OF THE BLIND OF FLORIDA</span></span></p><p class="s14" style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; text-align: center; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s13" style="line-height: 19.200000762939453px; font-weight: bold; font-size: 16px;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">Financial Assistance Application Form</span></span></p><p class="s14" style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; text-align: center; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span style="line-height: 21.600000381469727px;"> </span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s13" style="line-height: 19.200000762939453px; font-weight: bold; font-size: 16px;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">Applicant Information</span></span><span class="s13" style="line-height: 19.200000762939453px; font-weight: bold; font-size: 16px;"><span class="bumpedFont15" style="line-height: 28.799999237060547px; font-size: 1.5em;">:</span></span></p><p class="s16" style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; text-indent: -112px; margin-left: 112px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">Name: </span></span><span style="line-height: 21.600000381469727px; padding-left: 36px;"></span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">Best Contact</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> Phone: </span></span></p><p class="s16" style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; text-indent: -112px; margin-left: 112px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">Address: </span></span><span style="line-height: 21.600000381469727px; padding-left: 36px;"></span></p><p class="s16" style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; text-indent: -112px; margin-left: 112px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">City, State, ZIP: </span></span><span style="line-height: 21.600000381469727px; padding-left: 36px;"></span></p><p class="s16" style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; text-indent: -112px; margin-left: 112px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">E</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">-mail:</span></span><span style="line-height: 21.600000381469727px; padding-left: 36px;"></span></p><p class="s16" style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; text-indent: -112px; margin-left: 112px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">Chapter/Division: </span></span><span style="line-height: 21.600000381469727px; padding-left: 36px;"></span></p><p class="s16" style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; text-indent: -112px; margin-left: 112px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">Chapter President Name:</span></span></p><p class="s16" style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; text-indent: -112px; margin-left: 112px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">Chapter President</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> Phone Number:</span></span></p><p class="s16" style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; text-indent: -112px; margin-left: 112px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">Member Since: </span></span><span style="line-height: 21.600000381469727px; padding-left: 36px;"></span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">I am seeking assistance to attend:</span></span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">( )</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">National</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> Convention </span></span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">( )</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> State Convention </span></span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">( )</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> Other NFB</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">F</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> Seminar/Event (Please specify event name): </span></span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">Indicate any other sources for funding you have applied to, including Chapters of NFB</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">F</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">:</span></span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span style="line-height: 21.600000381469727px;"> </span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">Indicate Federation activities in which you have been involved in the last two </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">years,</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> including but not limited to </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">National Convention</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">, </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">State Convention</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">, and </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">Washington Seminar</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">.</span></span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span style="line-height: 21.600000381469727px;"> </span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">Indicate positions of leadership you have held: </span></span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span style="line-height: 21.600000381469727px;"> </span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">Why </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">d</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">o </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">y</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">ou </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">w</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">ant to </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">a</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">ttend </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">this event</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">?</span></span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span style="line-height: 21.600000381469727px;"> </span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">What </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">w</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">ould </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">y</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">ou </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">g</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">ain </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">f</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">rom </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">a</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">ttending </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">this event</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">?</span></span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span style="line-height: 21.600000381469727px;"> </span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">How </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">d</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">o </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">y</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">ou </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">p</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">lan to </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">g</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">ive </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">b</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">ack or </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">c</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">ontribute to </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">o</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">ur </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">organization</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> and</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">/or</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">o</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">ur</span></span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">m</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">ovement?</span></span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span style="line-height: 21.600000381469727px;"> </span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">NFBF reserves the right to require repayment of any award if recipient fails to attend </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">the event</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> or complete assigned tasks. If unable to attend, recipient must inform committee immediately.</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">By signing below, I acknowledge and understand that as a condition of receiving funding, I:</span></span></p><div class="s18" style="margin-top: 0px; margin-bottom: 0px; text-indent: -18px; line-height: 1.2; margin-left: 36px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s17" style="line-height: 21.600000381469727px; font-family: "Times New Roman";">1. </span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">Must abide by the NFB Code of Conduct and all affiliate </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">policies;</span></span></div><div class="s18" style="margin-top: 0px; margin-bottom: 0px; text-indent: -18px; line-height: 1.2; margin-left: 36px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s17" style="line-height: 21.600000381469727px; font-family: "Times New Roman";">2. </span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">Must attend </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">required</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> activities </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">for</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> the event for which I am receiving </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">funding</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">;</span></span></div><div class="s18" style="margin-top: 0px; margin-bottom: 0px; text-indent: -18px; line-height: 1.2; margin-left: 36px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s17" style="line-height: 21.600000381469727px; font-family: "Times New Roman";">3. </span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; 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 class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">NFB</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">F</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">;</span></span></div><div class="s18" style="margin-top: 0px; margin-bottom: 0px; text-indent: -18px; line-height: 1.2; margin-left: 36px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s17" style="line-height: 21.600000381469727px; font-family: "Times New Roman";">4. </span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">Must notify NFB</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">F</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; 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 class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">event;</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"></span></span></div><div class="s18" style="margin-top: 0px; margin-bottom: 0px; text-indent: -18px; line-height: 1.2; margin-left: 36px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s17" style="line-height: 21.600000381469727px; font-family: "Times New Roman";">5. </span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; 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 class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">F</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> if I shorten the duration of my attendance at the </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">event;</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"></span></span></div><div class="s18" style="margin-top: 0px; margin-bottom: 0px; text-indent: -18px; line-height: 1.2; margin-left: 36px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s17" style="line-height: 21.600000381469727px; font-family: "Times New Roman";">6. </span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">A</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">m responsible for </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">arranging </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">my</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">own </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">lodging </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">and </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">transportation;</span></span></div><div class="s18" style="margin-top: 0px; margin-bottom: 0px; text-indent: -18px; line-height: 1.2; margin-left: 36px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s17" style="line-height: 21.600000381469727px; font-family: "Times New Roman";">7. </span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">Should I violate any of the above requirements, NFB</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">F</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">may </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">rescind any financial assistance it has committed</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">. </span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">I am responsible for my own costs and repaying any costs NFB</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">F</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> has already paid on my behalf, and I am not eligible for financial assistance from NFB</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">F</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;"> in the future.</span></span></div><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span style="line-height: 21.600000381469727px;"> </span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">Signature of Applicant: (</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">Typing your name here will suffice as your signature</span></span><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; font-size: 1.5em;">)</span></span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span style="line-height: 21.600000381469727px;"> </span></p><p style="margin-top: 0px; margin-bottom: 0px; line-height: 21.600000381469727px; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-size: 18px;"><span class="s15" style="line-height: 16.799999237060547px; font-size: 14px;"><span class="bumpedFont15" style="line-height: 25.200000762939453px; 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></div></div></blockquote></body></html>