Mohigans Helping Mohigans
If you are in need of assistance this school year, your fellow Mohigans are here to help. Please complete the application below.
MHS Student Name *
Parent/Legal Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email Address
Address *
Please tell us the number of adults in your household. *
Please tell us the number of children in your household. *
Please check the boxes to tell us the type of assistance you need. *
Required
Please check the boxes below if you receive assistance from any of the following organizations. *
Required
If you checked the "Other" box above, please list other assistance that you receive.
Please list any other needs or concerns you would like us to be aware of or think we can help with. *
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