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Donate to ATMn* EDUCATION GRANT SCHOLARSHIP FORM
Assistive Technology of Minnesota (ATMn*) is a nonprofit organization working to help people with disabilities get the Assistive Technology (AT) they need to reach their full potential. This grant offers people with disabilities and consumers of AT with financial support to attend or present at educational conferences and trainings to benefit themselves and others in Minnesota.

To be eligible for this scholarship you must meet the following criteria:
A) Be a Minnesotan with a disability that interferes with a major life function.
B) Meet the eligibility income standard.
C) Offer a plan for contributing to a greater awareness of assistive technology.

1. * Please confirm you meet the above criteria
Yes
No
2. * Name
3. Daytime Phone
4. Address
5. City
6. State
7. Zip
8. Country
9. Social Security Number
10. Have you ever received any type of ATMN Program grant?
11. What will you learn and how will you share the information from the conference or training with others in your community when you return to Minnesota?
12. Use the space below to include information related to this educational experience as well as other related material you would like to share with ATMN.
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