New Eyes for the Needy

New Eyes for the Needy

Bringing Vision to the US and the World

Bringing Vision to the US and the World

Providing Glasses in the US

	The Need

	Our Voucher Program

	How the US Program Is Funded

	Who Receives the Glasses?

	Who Is Eligible?

	How to Apply for Assistance

	Sources of Free Eye Exams

	How the Program Operates

	Participating Agencies

	Special Programs & Partnerships

	Agency Resources

	Agency Application Form (PDF)

	Voucher Guidelines (PDF)

	Agency Inquiry and Input Form

	Application to Become a Participating Agency

	Participating Dispensers

	Optical Dispenser Resources

	Program Updates

Providing Glasses Overseas

Impact: How You Can Help

People: Partners & Supporters

Providing Glasses in the US

Application to Become a Participating Agency

Please fill out the form below to become a Participating Agency. * indicates a required field

Agency Name*
Street Address*
City*
State*
Zip Code*
Website
Agency Phone Number*
Contact Name*
Contact Title*
Contact Phone Number*
Contact Email*
Description of Your Agency's Mission, Service Population:*
Anticipated Number of Requests to New Eyes (per month)
*Do You and your Agency agree to abide by New Eyes for the Needy's policies and procedures in reviewing applications for New Eyes vouchers? Yes