Lions Club Financial Assistance Application - lionsdistrict22c 2026

1. Click ‘Get Form’ to open the Lions Club Financial Assistance Application in the editor.
2. Begin by filling in the date at the top of the form. Next, indicate your request type by checking the appropriate box for Eye Exam/Glasses, Hearing Test/Aid, or Other.
3. Provide your name and contact information in the Applicant section. Ensure you include your current address, work phone, and home phone numbers.
4. In the Family Employment Information section, detail your employment status and that of your spouse if applicable. Include how long you have lived at your current address and whether you own or rent.
5. Fill out the Finances section with household income details and monthly rent/mortgage amounts. Be sure to list any other assistance organizations you have contacted.
6. Complete any additional information relevant to your request in the provided space. Don’t forget to sign at the bottom before submitting.

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