HCS Primary Telephone: 256-428-6800
After-Hours Emergency Contact: 256-428-8355
Image Name (last, first) Sort descending Job Title Email Phone Department
Brown, Angie Finance Generalist Contact 256-428-6860 Finance
Craig, Andy Chief School Financial Officer Contact 256-428-6852 Finance
Daehn, Dustin Assistant CSFO Contact 256-428-6851 Finance
Horton, Jennifer Financial Accounting Supervisor Contact 256-428-6860 Finance
Rogers, Janice Finance Specialist Contact 256-428-6806 Finance
Shelton, Sondra Finance Specialist Contact 256-428-6853 Finance
Stiegler, Tracy Finance Generalist Contact 256-428-6860 Finance
Robert Terry, Robert J. Risk Management & Audit Coordinator Contact 256-428-6849 Finance
Leanetta Wright, Leanetta Finance Director Contact 256-428-6875 Finance
English Dutch French German Italian Portuguese Russian Spanish

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.
CAPTCHA Check the box to complete captcha challenge.
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.
CAPTCHA Check the box to complete captcha challenge.