The Massachusetts Assistive Technology Loan Program:
An Alternative Financing Project

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You may download the MA AT Loan Program Application and instructions by clicking on the following links.

You need to have Adobe Acrobat Reader for these forms. If you don't have Adobe on your computer, click here to get it free!

The University of Chicago also has a form. The university is in charge of collecting data for the MA AT Loan Program and all similar programs across the country. If you sign and send in this form, a representative from the University of Chicago will contact you 6 to 12 months after you participate in the program to conduct a brief follow-up survey. Your information will remain confidential. The only information the survey taker will have is that you participated in the program. He or she will not know whether you received a loan. By taking part in this survey you can help make sure that future grants are given to the MA AT Loan Program, which will allow the program to continue.

Please send all documents together in one package.

MA AT Loan Program Application

MA AT Loan Program Large Print Application

Application Instructions

University of Chicago Release Form

Massachusetts Rehabilitation Commission
Sovereign Bank