Daniel M. Carney Chairman Awards

Financial awards for medical equipment and assistive technology

The Chairman Awards provide financial aid of up to $1,000 for Kansans with disabilities in need of medical equipment and assistive technology.

Any type of equipment is eligible! Examples include (but are not limited to): communication devices, wheelchair modifications, home and vehicle ramps, adaptive strollers, home modifications, magnifiers, prosthetics, orthopedic shoes, gait trainers, walkers, lift chairs, and much more.

Award requirements:

Must be a Kansas resident with a disability,
Must have already partially secured funding for the item, and
The remaining amount needed to purchase the item must not exceed $1,000.
- If an item costs $2,000, the applicant must have already secured $1,000 or more in order to be considered.
  (If the item costs $1,000 or less, no additional funding is required.)

Deadline: May 31, 2023

This award is an endowed gift established in honor of Daniel M. Carney’s 50-year service to CPRF as Chairman of the Board.

Application

Name(Required)

First Last

Recipient

Disability or Diagnosis(Required)

Recipient

Age(Required)

Recipient

Gender

Recipient

Parent/Guardian Name (if applicable)

Phone(Required)

Recipient or parent/guardian

Email(Required)

Recipient or parent/guardian

Preferred Method of Contact(Required)

Phone

City of Residence(Required)

City State

Only Kansas residents are eligible for this award.

Type of Equipment(Required)

Provide a Brief Explanation of Need (2-4 sentences)(Required)

Examples: This tablet will help my child communicate and participate in the classroom. The communication barrier is preventing him from showing what he knows and engaging with his classmates. | Having an adaptive stroller would make running errands easier for our family. Her wheelchair works great for long periods of time, but it can be time-consuming to get the chair loaded into the car just to run to the grocery store. | A power chair will enable me to be more independently mobile. I would be able to go where I wanted on my own schedule. | A hand bike will allow me to improve my strength and cardio fitness. I want to focus on my personal health goals.

Total Cost of Equipment(Required)

Share Website Link to Product OR Upload Quote(Required)

If you are uploading a file, type N/A into the text box. You must provide either a website link to the item OR upload a quote.

File

Max. file size: 8 MB.

Amount of Funding Requested (cannot exceed $1,000)(Required)

Amount of Funding Secured to Date(Required)

If the item you need is $1,000 or less, outside funding is not required. Type N/A if your equipment costs $1,000 or less.

Proof of Funding(Required)

Provide documentation of the secured funding. If you plan to pay any portion out of pocket, please indicate the amount in the text box. Upload grant award letters, other promises to pay, insurance approvals, or any other type of additional funding. If there are multiple files, please combine them into one or contact us for assistance. If the total amount of the equipment is $1,000 or less, type N/A.

File

Max. file size: 8 MB.

Verification(Required)

All of the information provided in this application is correct.

The recipient of this award is a resident of Kansas.

I understand that the application will not be considered if the above criteria are not met.

Consent(Required)

If awarded funding, I agree to send a photo or video of myself or my child/ward with the equipment, along with a short testimonial.

Marketing

I agree to allow CPRF to share my photo/video to spread awareness about the importance of assistive devices.

I agree to allow CPRF to share my photo/video if the name is changed or hidden.

If you have any questions or concerns about marketing material, contact us at info@cprf.org. We're happy to provide more details.