DR. J. DAVID LEE SCHOLARSHIP FUND
FINANCIAL ASSISTANCE APPLICATION
If parents are divorced and both are responsible for support, provide income for both parents. If only one parent is responsible for support, provide income for only that parent.
If there are special factors (such as significant medical expenses or loss or reduction in employment) that the financial assistance committee should consider in connection with your application for financial assistance, please describe those factors below
I hereby certify that the information provided above is true and correct.