Barbara Fierst Memorial Technology Grant

Mountain State Council of the Blind
Barbara Fierst Memorial Technology Grant
for Assistive Devices
Awards Application Form

Low cost assistive devices may be provided through our organization to eligible applicants who are residents of West Virginia.  Only one application per individual may be submitted annually.  Currently the grant is limited to $100 or less.  This amount will increase when funding permits. 

Your personal information will not be shared with any persons or parties outside the Awards Committee members.  Your confidentiality is guaranteed.  Decisions of the Awards Committee are final.

Note: If approved, the applicant is responsible for a 20 percent co-pay.  An annual membership in the organization may be substituted for the co-pay amount. 

Please complete the online application form below and you will receive an immediate email confirmation of the form that was submitted. Alternatively, you can download an MS Word format of the Awards Grant Application Form that you may complete and return to the address provided.

Please return your completed application to:

Mountain State Council of the Blind
Awards Committee
PO Box 4006
Morgantown, WV 26504

Barbara Fierst Memorial Technology Grant