Impact Aid Survey Window

Date: Oct 20 , 2022
Time: 1:00 am

Dear Parent/Guardian:

The Huntsville City School System is entitled to federal monies if either mother, father, or guardian of a student is employed on certain federal properties, is on active duty in the Uniformed Services, or if they live on Redstone Arsenal or in a Federal Housing Project.

Instructions on how to access the Federal Impact Aid Survey Form

Starting this school year, parent(s)/guardian(s) can complete the Federal Impact Aid Survey Form electronically through PowerSchool:

  • Complete login to the Parent Portal in the PowerSchool app or through the PowerSchool website.
  • Click on Forms, then click on Huntsville City Impact Aid.
  • A form should be completed for each student attending Huntsville City Schools.
Forms:

If a parent/guardian is unable to complete the form through PowerSchool, online versions of the forms will be made available here. Paper copies and Spanish versions of the form are available upon request.

Forms are due by November 3.

If you have any questions or need to request a physical form, please contact Student Welfare and Social Services at 256-963-9806.

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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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