[Scholarship-comm] Tech Grant Application - Carrie Adams

Matt Selm mpselm at gmail.com
Sat Sep 28 17:29:50 CDT 2019




-------- Forwarded Message --------
Subject: 	Your Google Form: New respondent (#4)
Date: 	Sat, 28 Sep 2019 18:02:24 +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 *Carrie Adams*
Street Address *148 Surfside dr. B3*
City *Lexington*
State *Kentucky*
Zip *40503*
Phone *8594556852*
E-mail *cmadams.ky at icloud.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? *Finacially inable*
Are you a member of the Kentucky Council of the Blind? *No*
If applicable, list KCB chapters to which you belong: **
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. *$500*
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): *No*
Why are you applying for this grant? *To get a lot top that will hel 
easier to do those tests on a laptop. me better my every day routine. 
Somethings are unavailable on a phone and it will be easi*
Describe the assistive technology to be purchased: *Laptop with NVDA*
What are the exact specifications of the item to be purchased? *Laptop 
with NVDA *
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.newegg.com/p/1TS-001A-00TT4 
https://www.amazon.com/HP-2019-14-Laptop-14-CF0014DX/dp/B07KNLVRJ2/ref=pd_sbs_147_1/139-3426610-5343041?_encoding=UTF8&pd_rd_i=B07KNLVRJ2&pd_rd_r=8312d7ac-d31f-463c-b9c8-84c7d5799aff&pd_rd_w=ltgOX&pd_rd_wg=ADLtl&pf_rd_p=d66372fe-68a6-48a3-90ec-41d7f64212be&pf_rd_r=SMWYR2316WND672XJTAN&psc=1&refRID=SMWYR2316WND672XJTAN*
Do you agree with the "Statement of Agreement" above? *Yes, I agree*
Electronic Signature of Applicant: *Carrie Adams*
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