V-LINC - Providing Independence through Technology -

Online Financial Assistance Request Form

V-LINC makes every effort to accommodate your financial situation. Limited scholarships for membership and services may be available dependent upon funding. To be considered for a full or partial scholarship, this form must be completed in its entirety; incomplete forms will not be reviewed. Once we receive your request for Financial Assistance along with your membership application/service request our staff will review your request and contact you via mail or phone with the outcome.     

Thank you. Your request for financial assistance has been recieved. We review requests for financial assistance during our monthly staff meetings, therefore, depending on when you submit your request and when our next staff meeting is there may be a significant delay in determination. Once a determination is made you will be contact either by Phone or US Mail.