Childerns' Eye Glasses Applications

Child's Eye Exam & Glasses PDF application
Child's Eye Exam & Glasses MS Word compatible application

 

Adults' Eye Glasses & Affordable Hearing Aid Applications
Adult applications will be reviewed against the Federal Poverty Level as published by the U.S. Dept of Health & Human Services.
Click here for current Federal Poverty Level Guidlines

Adult's Eye Exam & Glasses PDF application
Adult's Eye Exam & Glasses MS Word compatible application
Lions Affordable Hearing Aid Program PDF application

 

Scholarships
2011 scholarship applications will be made available in the spring

Updated: July, 2010