Lewis & Clark College Office of Financial Aid

0615 S.W. Palatine Hill Road Phone: 503-768-7090 Fax: 503-768-7074

Portland, Oregon 97219-7899 E-mail: fao@lclark.edu

You have requested that Lewis & Clark reconsider your financial aid award for the 2020-2021
academic year. In order to do this, we need a realistic picture of what resources you (the
student) and your family anticipate having available for your educational costs in the 2020-
2021 year.

We will carefully consider the information on this form in the context of the information
provided on your financial aid applications and the availability of institutional resources when
determining if we can offer any additional financial aid. It is important to know that we may
not be able to revise your financial aid award.

Student Name: _____________________ LC ID: ______________

Name of Person Submitting this Form: _____________________

Anticipated Resources
Please mark the way(s) that you anticipate paying the educational costs remaining after
financial aid is applied to your student account, and the amount you anticipate having
available for the 2020-2021 year.

 Lump Sum Payment(s) __________________

 TMS Monthly Payment Plan __________________
 Gifts from Others __________________
 Educational Savings __________________
 Student Contribution from Summer Earnings __________________
 Student Contribution from Savings __________________
 Parent PLUS Loan __________________
 Private Loan __________________
 External Scholarship(s) __________________

Total Family Resources toward

2020-2021 Educational Costs __________________

By submitting this form, you are certifying that all information is complete and accurate to the best of
your knowledge.

Please return this form by uploading it to our secure Pioneer Portal.