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Braille and Access Technology for Students Initiative Application Form

Important Notice:

We are only accepting applications from individuals residing in one of the following counties:

  • Boone
  • Clay
  • Fayette
  • Kanawha
  • Lincoln
  • Putnam

If you DO NOT reside in one of the counties listed above, please do not apply and proceed with completing this application form.

Visual acuity of 20/200 in the better eye with best correction or visual field of 20 degrees or less in the better eye
3 Devices and/or Software you are requesting
Prioritized in order of preference
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