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.
* Required
MHS Student Name
*
Your answer
Parent/Legal Guardian Name
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Parent/Guardian Email Address
Your answer
Address
*
Your answer
Please tell us the number of adults in your household.
*
1
2
3
4
5
More than 5
Please tell us the number of children in your household.
*
1
2
3
4
5
More than 5
Please check the boxes to tell us the type of assistance you need.
*
Food
Clothing
Shoes
School Supplies
Hygiene Supplies
Transportation
Housing
Employment
Equipment for Extracurricular Activities
Required
Please check the boxes below if you receive assistance from any of the following organizations.
*
Christian Help
Salvation Army
United Way
Hoss Foundation
Mountain Line Transit
SNAP
The Shack Neighborhood House
WVDHHR
Scott's Run Settlement House
Bartlett House
Jobs for Life
Other
Required
If you checked the "Other" box above, please list other assistance that you receive.
Your answer
Please list any other needs or concerns you would like us to be aware of or think we can help with.
*
Your answer
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