FINANCIAL NEED QUESTIONNAIRE 2023

Guidance Counselor Feedback

To be completed as part of the Legence Bank Scholarship Application.

Question Title

* 1. Please confirm the student’s physical mailing address (no PO box):

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Question Title

* 2. Is the student receiving free or reduced lunch?

Yes

No

Question Title

* 3. Did the student apply for a Pell Grant?

Yes

No

Question Title

* 4. Did the student receive a Pell Grant?

Yes

No

Question Title

* 5. Please provide additional information in regards to the student’s financial need.

(Example: receives weekend meals, benefits from clothing drives, financial
assistance to participate in athletics)