[Nfbk] NFBGL Assistance for Convention
jayneseif at att.net
jayneseif at att.net
Sat Mar 14 19:39:52 UTC 2015
If you wish to apply for Nation Convention assistance via NBGL please fill out and return this form by April 15.
National Federation of the Blind of Greater Louisville
Request For Assistance
National Convention 2015
Name
Address
Phone
Email
Partial Assistance
Yes No
Full Assistance
Yes No
Are you seeking funding from another source.
Jernigan Scholarship Fund or KY State
What have you participated in as a member of the NFB?
What would you like to participate in as you continue your journey with the NFB?
Would you like a mentor from your local chapter at the Convention?
Yes No
Would you be interested in being a mentor at the Convention?
Yes No
Please note that if you accept assistance you agree to the following. I will attend all General Sessions of Convention 2015. I will attend all Division Meeting that apply to me (Guide Dog Users/ Students/Lawyers/etc.)
Deadline to apply April 15
Email questions and or applications to jayneseif at att.net
If using print application. Mail to:
Jayne Seif
4805 South 4th St.
Louisville, KY
40214
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