Disability Rehabilitation Research Project

The Rehabilitation Research and Training Center on Blindness and Low Vision
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Disability Rehabilitation Research Project

Persons Aging with Hearing and

Vision Loss (PAHVL)

Study Group Requirements

If you are over 55, and have a vision and hearing loss, you are invited to participate in a 3-5 year Study Group. The Study Group will be used to examine the impact of the secondary sensory loss on transportation, community integration, communication systems, assistive technology access and usage, and employment. Involvement would be primarily in the form of volunteer surveys and interviews. If you are interested in participating or would like more information please contact:

B. J. LeJeune, Principal Investigator

Rehabilitation Research and Training Center on Blindness and Low Vision

Mississippi State University

P. O. Box 6189

Mississippi State, MS 39762

1-800-675-7782

1-662-325-8693 TDD

bjlejeune@colled.msstate.edu

PAHVL Application

Name: ___________________________________

Address: _________________________________

__________________________________

Telephone: ___________________ V or TDD

Email: ___________________________________

Age Group: _______55-70 _______ over 70

Age of Onset of Vision Loss _________________

Age of Onset of Hearing Loss _______________

How would you prefer that we contact you? (Check all that apply)

___ Braille

___ Large print

___ Electronic disk

___ Cassette tape

___ Regular print

___ Email

___ Telephone

___ TDD

___ Other (specify) _____________________

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For information regarding this site's content, e-mail RRTC: RRTC@ra.MsState.Edu.
Rehabilitation Research and Training Center on Blindness and Low Vision Last Modified: Friday, Oct 1, 2004 10:26 CST
Copyright by MSU.1991
Mississippi State University is an equal opportunity/affirmative action institution.