Apply for Assistance

The Lindsey Riggs Memorial Fund exists to benefit children with special needs and to assist students pursuing higher education. The memorial promotes Lindsey's core values including a love for God, a passion for people, a joy of giving, and a dedication to learning.

Please fill out the form below to apply for assistance.
If you would prefer to mail in your form, you can download a printable form by clicking on the link below:

Special Needs Application.pdf

Name of Child:
Age of Child:
Parent or Guardian:
Address:
City, State, Zip:
Phone Number:
Email Address:
How did you find out about us?
Medical History:
Medical Equipment or Aid Requested:
Have other funding resources for this request been pursued? Please explain.