[Scholarship-comm] Tech Grant Application - Richard Sizemore

[Matt Selm]

-------- Forwarded Message --------
Subject: 	Your Google Form: New respondent (#1)
Date: 	Sat, 21 Sep 2019 22:25:34 +0000
From: 	mpselm at gmail.com
To: 	mpselm at gmail.com



*Your Google Form* 
<https://docs.google.com/forms/d/e/1FAIpQLSdvqr7f8oEv9MMhFK60fE0Rrma_Isv3euDhcCRHlgluiPasKg/viewform> 
has received a new response:

Applicants' Name *Richard Sizemore*
Street Address *2515 Crusaders way*
City *Lexington*
State *Kentucky*
Zip *40509*
Phone *8595332552*
E-mail *richard.sizemore at gmail.com*
Are you able to attend the KCB State Convention from November 15-16 2019 
in Louisville KY? *No*
If the answer is no, why not? *Regrettably I will most likely not be 
able to attend the convention due to childcare issues and having to work 
predominately on the weekends.*
Are you a member of the Kentucky Council of the Blind? *Yes*
If applicable, list KCB chapters to which you belong: *Bluegrass Council 
of the Blind*
Have you previously received a KCB Assistive Technology grant? *No*
If yes, please list date of award: **
What is the grant amount you are requesting? *Please note that the 
maximum amount to be awarded for 2019 will not exceed $500. *$464.64*
Are you able to pay for any portion of the item? Please list other 
sources of funds, such as personal funds, loans, other grants (including 
from whom): *I am not able to at this time *
Why are you applying for this grant? *Personally I would like to use 
this device in my every day life with an adaptive watch face and using 
voiceover as well as a myriad of other functions. I also intend to use 
this to display the accessibility features of the Apple Watch. This will 
help others determine if it will be a good fit for low vision 
environments as well as for blind use.*
Describe the assistive technology to be purchased: *An apple series 5 watch*
What are the exact specifications of the item to be purchased? *Apple 
Watch Series 5 GPS, 44mm Space Gray Aluminum Case with Black Sport Band 
- M/L & L/XL*
Please provide your two (2) vendor quotes. If only one (1) quote is 
available, please provide that information. Please include links if 
possible to the product page of the vendor. 
*https://www.apple.com/shop/buy-watch/apple-watch/44mm-gps-space-gray-aluminum-black-sport-band-ml_lxl*
Do you agree with the "Statement of Agreement" above? *Yes, I agree*
Electronic Signature of Applicant: *Richard Sizemore*
Auto notification by Form to Email 
<https://chrome.google.com/webstore/detail/form-to-email/nkefgpkhgalenhblfncmfdakiaejfbho> 
add-on for Google Forms
Send mass emails from Sheets: Mail Merge SMTP 
<https://chrome.google.com/webstore/detail/mail-merge-smtp/hkmjnmnlahonelgbpdcjfnnalhmalfco>