Straz Strong 2026 Grant application form Applicant info Name * First Name Last Name Email * Phone * (###) ### #### Location * *we are currently offering Canadian grants Age * Type of Grant * Community Grant Individual Athletic Grant Tell us about yourself Background * What is your current physical/mental condition or disability? * What challenges do you face that adaptive technology could help with? * How do you plan on using this donation? * Turning Point Proposal What adaptive device or technology would be your "turning point"? How would this opportunity impact your life or others? Have you used adaptive technology before? If so, what kind? Media Consent & Participation Are you comfortable being filmed and having your story shared publicly? Yes No Are you available for interviews or media appearances if selected? Yes No Uploads (optional) Provide a short video or audio clip (max 2 mins) introducing yourself and your story Optional Video Link http:// Final Declarations I certify that the information provided is accurate * Yes, I certify I agree to the foundation’s terms and conditions * I agree Reference Information Name * First Name Last Name Email * Phone * (###) ### #### Relation to Applicant * Thank you so much for reaching out.
