{"id":7711,"date":"2019-07-26T02:54:01","date_gmt":"2019-07-26T09:54:01","guid":{"rendered":"https:\/\/shayneletford.com\/test-triumph\/outreach\/grants-and-equipment\/"},"modified":"2026-04-21T14:47:47","modified_gmt":"2026-04-21T21:47:47","slug":"grants-and-equipment","status":"publish","type":"page","link":"https:\/\/triumph-foundation.org\/es\/outreach\/grants-and-equipment\/","title":{"rendered":"Grants &#038; Equipment"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div id=\"no-float\" class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>Triumph Foundation assists people with spinal cord injury (SCI) to get necessary equipment, supplies, and services. Individuals who are dealing with paralysis are often discharged from a hospital without a wheelchair to go home in; without necessary supplies for daily care; without the ability to enter their home due to a lack of accessibility; and without other essential goods and services.<\/p>\n<p>These critical items will enable someone to live a more functional, fulfilling, and independent life, but inadequate health insurance coverage and financial hardship keep it out of reach. Triumph works to bridge that gap thru our Keep Moving Forward (KMF) Grant program, our Employment Achievement Award, and our Equipment &amp; Supply Exchange.<\/p>\n<p><a href=\"https:\/\/triumph-foundation.org\/donate\/\" target=\"_blank\" rel=\"noopener noreferrer\">Make a Gift<\/a><\/p>\n<h2>Keep Moving Forward Grant<\/h2>\n<p>Triumph\u2019s Keep Moving Forward (KMF) Grant is for people with spinal cord injury that have limited financial capability to help them triumph over obstacles they face and enhance their quality of life.<\/p>\n<p>Triumph\u2019s KMF Grants help individuals get necessary Adaptive Equipment for activities of daily living, make Home Modifications for wheelchair accessibility, enable the Return to Work reintegrating back into the community, and engage in Therapeutic Activities for health and wellness.<\/p>\n<p>Categories of qualified requests by priority:<\/p>\n<ol>\n<li>Adaptive Equipment for activities of daily living- ex: wheelchairs, commodes, etc.<\/li>\n<li>Home Modifications- ex: ramps, bathroom remodel, widen doorways, etc.<\/li>\n<li>Return to Work\/Community- ex: vehicle modifications, assistive computer technology, etc.<\/li>\n<li>Therapy\/Recreational Activities- ex: recreational equipment, armcycle, standing frame, gym membership, etc. Grants for in-person therapy sessions are only available to applicants whose injury occurred within the past 2 years and who received less than 6 weeks of rehabilitation.<\/li>\n<\/ol>\n<p>Applicants must be residents of the United States of America, <strong>with priority given to Southern California residents.<\/strong> Applications are reviewed by Board of Directors every 30-90 days, the maximum grant is $2,000 when funds are available, and are paid directly to the vendor (no cash assistance to individuals or reimbursements).<\/p>\n<p><strong>Out of State applicants are NOT eligible for<\/strong>: hand controls, scooter attachments, large home modifications, custom-built ramps, items not directly related to mobility, safety, or medical necessity.<\/p>\n<p>Technology grants for the purposes of returning to school\/work have a $600 grant maximum amount.<\/p>\n<p>Partial Payments toward larger items (i.e. vehicles) will not be considered unless all payments are already in place for the total amount. For example, if requesting $2,000 toward a $20,000 purchase, you must have already obtained $18,000 to complete the transaction.<\/p>\n<p><span style=\"color: #000000;\"><strong>To request an application, fill out the form below.<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<h2>Employment Achievement Award<\/h2>\n<p>A key part of Triumph's <a href=\"https:\/\/triumph-foundation.org\/outreach\/grants-and-equipment\/employment-assistance\/\">Employment Assistance Program<\/a> is the <em>Employment Achievement Award, <\/em>this grant provides financial assistance to people with SCI to return to work, achieve more success with current employer, for a license, product, or equipment that will enable you to start a business, and\/or increase their workplace success. The goal is to help people who suffer paralyzing accidents to become productive members of the community.<\/p>\n<ul>\n<li>Triumph is now accepting applications.<\/li>\n<li>Application to be submitted with a <strong>detailed budget<\/strong> describing how the funds would enable you to obtain employment, achieve more success at your job, or start an entrepreneurial venture.<\/li>\n<li>Maximum Award is $5,000.<\/li>\n<\/ul>\n<p><a href=\"https:\/\/triumph-foundation.org\/outreach\/grants-and-equipment\/employment-assistance\/\" rel=\"noopener\">Click here for more information<\/a><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><section id=\"blue-section\" data-vc-full-width=\"true\" data-vc-full-width-temp=\"true\" data-vc-full-width-init=\"false\" class=\"vc_section\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<div><div class=\"section-title-small\">Equipment &amp; Supply Exchange<div class=\"section-divider\"><\/div><\/div><\/div>\n<div class=\"center\">Triumph facilitates a recycling program that helps pair people in need of adaptive equipment &amp; supplies with people who have items to donate. We help repurpose used durable medical goods.<br \/>\n<div style=\"width:100%; height:20px\" ><\/div><br \/>\n<a class=\"btn-outline-white\" href=\"https:\/\/triumph-foundation.org\/exchange\">More Info<\/a><\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/section><div class=\"vc_row-full-width vc_clearfix\"><\/div><section class=\"vc_section vc_custom_1522281494653\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12 vc_col-lg-offset-1 vc_col-lg-10 vc_col-md-offset-0 vc_col-md-12 vc_col-xs-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<div class=\"section-title-large\">Request Application<div class=\"section-subtitle\">This is not the grant application. Fill out this form to find out if you are eligible for a grant.<\/div><div class=\"section-divider\"><\/div><\/div>\n\n\t\t<\/div>\n\t<\/div>\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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       <label for='input_14_39_1' id='input_14_39_1_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_14_39_2_container' >\n                                        <input type='text' name='input_39.2' id='input_14_39_2' value='' tabindex='10'  placeholder='Address Line 2'  aria-required='false'   \/>\n                                        <label for='input_14_39_2' id='input_14_39_2_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_14_39_3_container' >\n                                    <input type='text' name='input_39.3' id='input_14_39_3' value='' tabindex='11'  placeholder='City' aria-required='true'    \/>\n                                    <label for='input_14_39_3' id='input_14_39_3_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_14_39_4_container' >\n                                        <input type='text' name='input_39.4' id='input_14_39_4' value='' tabindex='13'    placeholder='State \/ Province' aria-required='true'    \/>\n                                        <label for='input_14_39_4' id='input_14_39_4_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_14_39_5_container' >\n                                    <input type='text' name='input_39.5' id='input_14_39_5' value='' tabindex='14'  placeholder='ZIP \/ Postal Code' aria-required='true'    \/>\n                                    <label for='input_14_39_5' id='input_14_39_5_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_14_39_6_container' >\n                                        <select name='input_39.6' id='input_14_39_6' tabindex='15'  aria-required='true'    ><option value='' >Country<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' selected='selected'>United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_14_39_6' id='input_14_39_6_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_14_41\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div style=\"width:100%; height:30px\" ><\/div><\/li><li id=\"field_14_34\" class=\"gfield gfield--type-select gfield--input-type-select show-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_34'>Are you a person with a disability?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_34' id='input_14_34' class='large gfield_select' tabindex='16'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Are you a person with a disability?*<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_14_28\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div style=\"width:100%; height:30px\" ><\/div><\/li><li id=\"field_14_27\" class=\"gfield gfield--type-select gfield--input-type-select show-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_27'>Disability Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_27' id='input_14_27' class='large gfield_select' tabindex='17'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Disability Type*<\/option><option value='Paraplegia' >Paraplegia<\/option><option value='Quadriplegia' >Quadriplegia<\/option><option value='Spinal Cord Injury' >Spinal Cord Injury<\/option><option value='Spinal Cord Disorder (TM\/GB\/Polio)' >Spinal Cord Disorder (TM\/GB\/Polio)<\/option><option value='Spina Bifida' >Spina Bifida<\/option><option value='Stroke' >Stroke<\/option><option value='Amputee' >Amputee<\/option><option value='Cerebral Palsy' >Cerebral Palsy<\/option><option value='Multiple Sclerosis' >Multiple Sclerosis<\/option><option value='Muscular Dystrophy' >Muscular Dystrophy<\/option><option value='TBI' >TBI<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_14_29\" class=\"gfield gfield--type-text gfield--input-type-text show-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_29'>Injury Description<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_14_29' type='text' value='' class='large'   tabindex='18' placeholder='Injury Description*' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_30\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield show-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Date of injury\/diagnosis<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_14_30' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_14_30_1_container'>\n                                            <input type='number' maxlength='2' name='input_30[]' id='input_14_30_1' value='' tabindex='19'  aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                            <label for='input_14_30_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_14_30_2_container'>\n                                            <input type='number' maxlength='2' name='input_30[]' id='input_14_30_2' value='' tabindex='20'  aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_14_30_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_14_30_3_container'>\n                                            <input type='number' maxlength='4' name='input_30[]' id='input_14_30_3' value='' tabindex='21'  aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                            <label for='input_14_30_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                       <\/div>\n                                   <\/div><\/div><\/li><li id=\"field_14_38\" class=\"gfield gfield--type-select gfield--input-type-select show-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_38'>Cause of injury<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_38' id='input_14_38' class='large gfield_select' tabindex='22'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Cause of injury*<\/option><option value='Vehicular' >Vehicular<\/option><option value='Fall' >Fall<\/option><option value='Violence' >Violence<\/option><option value='Sports\/Recreation Activities' >Sports\/Recreation Activities<\/option><option value='Medical\/Surgical' >Medical\/Surgical<\/option><option value='Disease\/Disorder' >Disease\/Disorder<\/option><option value='Cancer' >Cancer<\/option><option value='Congenital' >Congenital<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_14_32\" class=\"gfield gfield--type-select gfield--input-type-select show-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_32'>Does your family member (or loved one) have a disability?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_32' id='input_14_32' class='large gfield_select' tabindex='23'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Does your family member (or loved one) have a disability?*<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_14_33\" class=\"gfield gfield--type-textarea gfield--input-type-textarea show-label field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_33'>Tell us more<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_33' id='input_14_33' class='textarea medium' tabindex='24'   placeholder='Tell us more'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_14_42\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div style=\"width:100%; height:30px\" ><\/div><\/li><li id=\"field_14_21\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gform_show_label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >I want to apply for<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_14_21'><li class='gchoice gchoice_14_21_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.1' type='checkbox'  value='ADL'  id='choice_14_21_1' tabindex='25'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_21_1' id='label_14_21_1' class='gform-field-label gform-field-label--type-inline'>Equipment for Activities of Daily Living<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_21_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.2' type='checkbox'  value='Home Modification'  id='choice_14_21_2' tabindex='26'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_21_2' id='label_14_21_2' class='gform-field-label gform-field-label--type-inline'>Home Modification<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_21_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.3' type='checkbox'  value='Return to Community'  id='choice_14_21_3' tabindex='27'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_21_3' id='label_14_21_3' class='gform-field-label gform-field-label--type-inline'>Return to Community<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_21_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_21.4' type='checkbox'  value='Therapy \/ Rec'  id='choice_14_21_4' tabindex='28'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_21_4' id='label_14_21_4' class='gform-field-label gform-field-label--type-inline'>Therapy \/ Rec<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_37\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div style=\"width:100%; height:30px\" ><\/div><\/li><li id=\"field_14_43\" class=\"gfield gfield--type-textarea gfield--input-type-textarea show-label gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_43'>Tell us about yourself and what you\u2019d like to apply for<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_43' id='input_14_43' class='textarea medium' tabindex='29'  maxlength='1000' placeholder='Tell us about yourself and what you\u2019d like to apply for*' aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_14_44\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_44'>Hidden: Grant Application Request<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_44' id='input_14_44' class='large gfield_select' tabindex='30'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Hidden: Grant 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*\/\n<\/script>\n<\/div><\/div><\/div><\/div><\/section>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Triumph Foundation provides people with spinal cord injury with necessary equipment, supplies, and services through our Keep Moving Forward (KMF) Grant program, our Employment Achievement Award, and our Equipment &#038; Supply 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