Green Triangle
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SERVING STUDENTS,
THEIR FAMILIES,
AND THE COMMUNITY

________

Media specialist and students kneeling in a row in the library while holding books and smiling
HCS Trending
Notifications
Events Calendar
Mon

05

Jun
Cybersecurity Camp
08:00AM to 12:00PM
Right Arrow
Tue

06

Jun
Thu

08

Jun
Child Nutrition Job Fair
04:00PM to 06:00PM
Right Arrow
Tue

13

Jun
Wed

28

Jun
Child Nutrition Job Fair
04:00PM to 06:00PM
Right Arrow
Tue

11

Jul
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Parent/Guardian or Unaccompanied Youth Information

Please enter the name of the parent/guardian completing this form out.
Please enter a valid phone number for the person submitting this form.
Please provide the name of the shelter, hotel address, or location of where you slept last night.
Preferred Communication
Please choose the preferred methods of communication. (Check all that apply.)

 

Student Information

Please select the school of the student in need of assistance.
Student IEP?
Please indicate whether the student has an IEP.
Student Transportation
Does the student have reliable transportation?
Second Student
Please indicate whether you have another student living in the household.

Student 2 Information

Please select the school of the student in need of assistance.
Student 2 IEP?
Please indicate whether the student has an IEP.
Third Student
Please indicate whether you have another student living in the household.

Student 3 Information

Please select the school of the student in need of assistance.
Student 3 IEP?
Please indicate whether the student has an IEP.
Fourth Student
Please indicate whether you have another student living in the household.

Student 4 Information

Please select the school of the student in need of assistance.
Student 4 IEP?
Please indicate whether the student has an IEP.

 

Family Situation

Family Needs
Is your family in need of any of the above? (Please check all that apply.)
Current Living Situation
Where is the student or students living right now? (Select only one.)
Reason(s)
Please indicate the primary reasons for homelessness. (Please check all that apply.)
Please explain the circumstances that lead to your homelessness.

 

Declarations

Please enter the last date of permanent residency.
Declaration of Understanding
Please select yes or no to affirm the above statement.
Guardian or Student Declaration
Please select yes or no to affirm the above statement.
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TYPE OF ORGANIZATION
MINORITY OWNED BUSINESS

Names of Officers, Members or Owners of Concern, Partnership, Etc.


Names of Officers, Members or Owners of Concern, Partnership, Etc.

Person of Concern 1


Persons to Contact on Matters Concerning Bids and Contracts

Person to Contact 1

Person to Contact 2

COMMODITY LIST

Check all that apply.
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