Matching Grants Application

Funds are available to any blind or visually impaired resident of Ohio or any chapter of ACB-Ohio to pay half the cost of a purchase or chapter project, up to $1000 (1000 dollars). Examples include but are not limited to:

Screen reader
Braille display
CCTV or another magnifier
Chapter fundraising project

The funds are to be used for new equipment. Requests for money to cover the cost of repairs considered on an individual basis. We do not cover funding for training; contact Opportunities for Ohioans with Disabilities at (800) 282-4536 for training.

Fill out the form below and supply either an invoice showing the expected cost or a receipt from the vendor within 90 days of purchase. If an item has been purchased, ACBO will send the buyer a check for the approved amount, up to half the cost, not to exceed $1000; if not, ACBO will send funds directly to the vendor.
If you have any questions, or would prefer an application in word format, contact acbo.director@gmail.com. Also,you can call: 614-261-3561.

Application Form

First Name (required):

Last Name (required):

Street Address 1 (required):

Street Address 2:

City (required):

State (required):

Zip Code (required):

Phone (required):

Email Address (required):

Check any that apply:
Receive Talking Books from NLSReceive services from a radio reading serviceReceive services from OOD, a sight center, or other agency serving the blindSubscribe to BookshareApplied for funds from another agency

If you did not check anything above, please attach a note from your eye doctors stating your current diagnosis, whether your condition is temporary or permanent, and whether your condition is stable or getting progressively worse.

Amount Requested (required):

What will you use this money for, and how will you use what you purchase? (Explain in detail):

Please Explain 50 characters minimum (required):

Provide the name, address, and phone number of the vendor:

Vender Name (required):

Street Address 1 (required):

Street Address 2:

City (required):

State (required):

Zip Code (required):

Phone:

Email Address:

You may attach a doc, docx, or pdf file below, if you need to, for doctors notes, receipts, etc. If you have more than one file, please email them to acbo.director@gmail.com, with Matching Grants in the subject, and your name somewhere in the email, so we can match things correctly.

Attach File: