Oklahoma State University

Student Disability Services Logo

National Federation of the Blind of Oklahoma
Scholarships & Financial Aid - Community Sources

The scholarship is from the Central Oklahoma Chapter of the National Federation of the Blind of Oklahoma. This is a local scholarship funded by a local organization to benefit local students who are blind or visually impaired. The application form is also attached.


2012 Central Oklahoma Chapter

Elmer Wright Memorial Scholarship Program

To apply for the NFB of Central Oklahoma Scholarship, please complete the application form and mail it along with the required documentation to the following:

Central Oklahoma Chapter

National Federation of the Blind of Oklahoma

Attn: Scholarship Committee

P.O. Box 62

Edmond, OK 73070

 

Applications may also be e-mailed as an attachment to:

This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Only completed forms will be considered.  Read the application carefully and submit all required items.  The checklist below contains all required information and supplementary documentation.

1. A completed application form.

2. An official Transcript(s) from current university or, if high school student, transcripts from your high school.

3. Confirmation of Legal blindness.  (See final page of application), or a letter of confirmation from your doctor dated within the last 12 months.

4. Personal Essay, see guidelines below.

5. One letter of recommendation from a teacher or professor.

 

Your personal essay should include, but should not be limited to the following information:


· Your personal philosophy of blindness


·
How your philosophy of blindness has impacted your life


·
How you have, or plan to conquer perceived barriers that have hindered or might hinder you in the future


·
What you consider to be the most important information that anyone should know and understand about blindness

 

APPLICATION FORM

PERSONAL INFORMATION

Name: ______________________________________________________

Date of birth (MM/DD/YYYY): _________________________________________

Home address, City, State, Zip: _______________________________________

Home phone number: ______________________________________________

Cell phone number: ________________________________________________

E-mail address:  __________________________________________________

HIGH SCHOOL INFORMATION

High school name:  ________________________________________________

School address, City, State, Zip: _______________________________________

Cumulative grade point: _____________________________________________

CURRENT COLLEGE/UNIVERSITY

Name of current college or university: ___________________________________

School address, City, State, Zip: _______________________________________

Cumulative grade point: ____________________________________________

PROPOSED COLLEGE/UNIVERSITY

Name of the proposed institution: ______________________________________

School address, City, State, Zip: _______________________________________

Classification:  ___ Freshman ___ Sophomore ___ Junior ___ Senior ___ Graduate

Vocational goal/major: ______________________________________________

CONFIRMATION OF LEGAL BLINDNESS

URL to download form: www.nfb.org/scholarships

Confirmation of legal blindness is required for special consideration or disability services from the IRS, Social Security, and other federal, state, and private organizations.  The federal government defines blindness as follows:

[T]he term ”blindness” means central visual acuity of 20/200 or less in the better eye with the use of a correcting lens.  An eye, which is accompanied by a limitation in the fields of vision such that the widest diameter of the visual field subtends an angle no greater than 20 degrees shall be considered for purposes in this paragraph as having a central visual acuity of 20/200 or less.

Social Security Act: 42 U.S.C. § 416(i) (1) (B) (Supp. IV 1986).  [1]

Translation: A person is considered legally blind if the vision in the right eye and the left eye (both eyes) is 20/200 or less when wearing glasses or contacts or both, or if the field of vision for both eyes together is 20 degrees or less.

Consumer/Client/Patient:

Name:                                Date of Birth:

Address:

Best corrected vision: OD (Right Eye):                                                 OS (Left Eye):

OU (Both Eyes):

Visual field (in degrees):

Specific eye condition(s):

Certifying Authority:

I certify that _________________________________ is legally blind in both eyes as specified in the federal definition quoted above.

(Signed) ____________________________________ (Date) ____________________

(Title)  __________________________________________________________________

Please attach your business card or print/type your name, profession, and address here: