A Virginia Voice radio enables the recipient to listen daily to the reading of the Richmond Times Dispatch and several other daily newspapers as well as a host of magazines and occasional books. In addition, the programming includes informal programs produced specifically for those with visual impairments and other disabilities
To qualify for a radio the applicant must meet one of the following eligibility criteria: Be certified as legally blind. Have only partial vision, requiring the use of visual aids other than ordinary eyeglasses in order to read conventional print comfortably. Have a physical disability that prevents normal reading because of an inability to hold printed material. have any type of reading disability.
If the applicant meets any one of the above criteria, he or she is eligible for the service of Virginia Voice. Please completely fill in the application form and return it to Virginia Voice at the address indicated.
The certification statement is to be completed and signed by a doctor, nurse, opthalmologist, optometrist, therapist, rehabilitation counselor or instructor, or any professional caregiver.
Upon our receipt of the application, a Virginia Voice radio will be provided to the applicant. The radio will be issued on a loan basis, at no charge, for as long as the applicant needs the service. Although there is no charge for the use of the radio, annual contributions are encouraged. Because Virginia Voice is a non-profit organization, all contributions are tax-deductible to the extent allowed by law.
It is imperative that Virginia Voice be notified of any change of address or phone number. The radio is to be returned to Virginia Voice if the listener moves outside of the Greater Richmond area. Our radios are tuned to only one frequency and, therefore, will not function outside of the Greater Richmond area.
Applicant Information
Birth date:___/___/___ (Mr. Mrs. Ms. Miss)_____ Street Address_____ City_____ County_____ State_____ Zip_____ Phone Number_____ E-Mail_____ Name under which phone is listed_____ (Relationship to Applicant)_____ How did applicant learn of this service?_____ Applicant Employed By / Retired From_____
Nearest Relative or Close Friend (may be at same address as applicant) (Mr. Mrs. Ms. Miss)_____ Relationship to applicant_____ Phone_____ Street Address_____ E-Mail_____ City_____ State_____ Zip_____
Another Relative or Friend (not at same address) (Mr. Mrs. Ms. Miss)_____ Relationship to Applicant_____ Phone_____ Street Address_____ E-Mail_____ City_____ State_____ Zip_____
Eligibility (This section is to be completed by a professional care-giver or other qualified person with reference to the eligibility criteria on the reverse side.) The above-named applicant is eligible for a Virginia Voice radio for the following reason(s):_____ Name_____ Title_____ Street Address_____ E-Mail_____ City_____ State_____ Zip_____ Phone_____ Signature_____ Date_____
Return to: Virginia Voice P.O. Box 15546 Richmond, VA 23227 Phone: (804) 266-2477 Fax: (804) 266-2478