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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link="#0563C1" vlink="#954F72"><div class=WordSection1><p class=MsoPlainText align=center style='text-align:center'><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>National Federation of the Blind of Ohio 2022 State Convention Assistance Form<o:p></o:p></span></p><p class=MsoPlainText align=center style='text-align:center'><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText align=center style='text-align:center'><span style='font-size:12.0pt;font-family:"Arial",sans-serif;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple'>The National Federation of the Blind of Ohio 2022 Convention will take place November 4th through November 6th at the </span><span style='font-size:12.0pt;font-family:"Arial",sans-serif'> Doubletree by Hilton in Independence Ohio. </span><span style='font-size:12.0pt;font-family:"Arial",sans-serif;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple'>Because affiliate resources are limited, those chosen to receive help will receive partial assistance only. Please complete this form, and submit the letters requested on or before October 15, 2022. Requests received after that date may not be considered. If you have questions about the form or the process, contact me by email at rchpay7@gmail.com or call 937-829-3368, for information or help.<o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple'>NOTE: For anyone receiving Convention Assistance, you will be expected to volunteer and attend all general sessions along with other meetings and workshops. <o:p></o:p></span></p><p class=Body style='margin-bottom:10.0pt;line-height:115%'><span style='font-size:12.0pt;line-height:115%;font-family:"Arial",sans-serif;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple'><o:p> </o:p></span></p><p class=Body style='margin-bottom:10.0pt;line-height:115%'><span style='font-size:12.0pt;line-height:115%;font-family:"Arial",sans-serif;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple'>by receiving Convention assistance from the National Federation of the Blind of Ohio to attend the Convention; you agree to abide by the Convention hotels and the National Federation of the Blind as related to Covid-19 safety regulations and the code of conduct. <o:p></o:p></span></p><p class=Body style='margin-bottom:10.0pt;line-height:115%'><span style='font-size:12.0pt;line-height:115%;font-family:"Arial",sans-serif;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple'><o:p> </o:p></span></p><p class=Body style='margin-bottom:10.0pt;line-height:115%'><span style='font-size:12.0pt;line-height:115%;font-family:"Arial",sans-serif;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple'>Those seeking Convention Assistance to attend their first National Convention should complete the application by noting it on the form. Consult with your Chapter or Division President about this process.<o:p></o:p></span></p><p class=Body style='margin-bottom:10.0pt;line-height:115%'><span style='font-size:12.0pt;line-height:115%;font-family:"Arial",sans-serif;mso-style-textoutline-type:none;mso-style-textoutline-outlinestyle-dpiwidth:0pt;mso-style-textoutline-outlinestyle-linecap:flat;mso-style-textoutline-outlinestyle-join:bevel;mso-style-textoutline-outlinestyle-pctmiterlimit:0%;mso-style-textoutline-outlinestyle-dash:solid;mso-style-textoutline-outlinestyle-align:center;mso-style-textoutline-outlinestyle-compound:simple'><o:p> </o:p></span></p><p class=Body style='margin-bottom:10.0pt;line-height:115%'><span style='font-size:12.0pt;line-height:115%;font-family:"Arial",sans-serif'>Moreover, if you request cash assistance, you will have to sign an expense reimbursement form, which you can get from the president. Without a signed blank form that we can fill out with the amount of cash granted, we cannot advance any funds. Whatever assistance you are requesting, please attach a letter explaining why you wish to attend the Convention and what you hope to accomplish as a result. If we should know about extenuating circumstances before deciding about your application, please explain them briefly. <o:p></o:p></span></p><p class=Body style='margin-bottom:10.0pt;line-height:115%'><span style='font-size:12.0pt;line-height:115%;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=Body style='margin-bottom:10.0pt;line-height:115%'><span style='font-size:12.0pt;line-height:115%;font-family:"Arial",sans-serif'>Please pay attention to the next line. No one applies for Convention Assistance without financial need, so this request is for information about extraordinary needs only.<o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>The Board of Directors set aside limited funds for Convention Assistance, and when the funds are gone no more will be available, so get your request in early.<o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>I also wish to note that last year we received letters that described work that you may have done that should be able to be confirmed by your Chapter President or another leader of the Ohio Affiliate. While work on the local level is great, we expect our members to be working on the local, state, and national levels as well.<o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Please speak to your Chapter or Division President and ask them to send me a letter of support for your application. When they send this information, I need to know what assistance you will be getting from your chapter. This information will weigh heavily on your application, so chapter president’s do your best to assist our members. If you are not yet a member of the National Federation of the Blind of Ohio, please call me for an interview by phone. You may call me at 937/829/3368.<o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Please submit all materials by email. <o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Name: <o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Street Address: <o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>City, State, Zip: <o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Phone:<o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Email: <o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Number of adults: Children: _____<o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Date of arrival Date of departure <o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Are you requesting cash assistance for convention expenses? <o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Are you requesting assistance with your hotel room? if the answer is No, skip the following section.<o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Have you made a room reservation?: <o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>If you are a single adult, are you able to share a room with one to three people?:<o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Note: hotel assistance will be for half of a double. If you find more roommates, your cash will go further.<o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Should a roommate know about any habits or health problems? ___Yes ___No if yes, please explain. __________________________________<o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Are you requesting transportation assistance?: <o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Are you planning to drive to the convention?: <o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>If so, how much assistance are you requesting? $_________ (We reimburse at 48 cents a mile.)<o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>If you have already made transportation arrangements, please explain them. <o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Miscellaneous Expenses<o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>The banquet will cost about $50.00 if you preregister. Are you requesting assistance with this important fee?: <o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>We urge everyone to preregister.<o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Please return this information by email to <a href="mailto:rchpay7@gmail.com"><span class=Hyperlink0>rchpay7@gmail.com</span></a> <o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'><o:p> </o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>Richard Payne, President National Federation of the Blind of Ohio <o:p></o:p></span></p><p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Arial",sans-serif'>The National Federation of the Blind knows that blindness is not the characteristic that defines you or your future. Every day we raise the expectations of blind people because low expectations create obstacles between blind people and our dreams. You can live the life you want; blindness is not what holds you back. <o:p></o:p></span></p></div></body></html>