While man listening to hand held radio, black man lsitening on headphones, white woman with cane listening on cell phone

IRIS Online Application

Want to listen to IRIS on-demand online, or receive a specially tuned radio to listen when and where you want? Fill out this application and submit below and WFYI staff will be in touch. If you prefer to print out a form and mail it in, click here to download the form and mail to:

WFYI Indianapolis
IRIS
1630 N. Meridian St.
Indianapolis, IN 46202

PDF Version of the Form

* Applicant's Full Name:
* Street Address
* Phone
()-
Race
* How did you learn about IRIS?
* I am interested in:
Eligibility Requirements
* Please check any that apply
* Are you enrolled in the Talking Book program?
* If NO, a certification must be uploaded with this submission, or other professional provider documentation provided to IRIS. The certifying authority may NOT be a relative of the applicant.
If you are requesting a specially tuned IRIS radio, please provide the contact information of one individual who will be responsible for returning the receiver if the applicant cannot do so.
Name:
Address:
Phone:
()-