Har & Ger Heinsohn Needs Application
Harlan Heinsohn established this fund in honor of his wife Ger because he believed in the importance of the family and children.  He also believed we have a responsibility to "pay it forward."  The purpose of the fund is to assist Mandan Public Schools students who need help with basic needs like milk, snacks, clothing, eyeglasses, and other essential day-to day living requirements.  Elementary students with financial need will have preference, but middle and high school students are also eligible. 

Requests may be submitted by parents, teachers or administrators.
Sign in to Google to save your progress. Learn more
First & Last Name: *
Phone Number: *
Email Address:  *
Explain Need: *
Explain Request in Detail:  *
Cost of Request: *
Administrator's Comment: *
Funds Needed By: *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mandan Public Schools.

Does this form look suspicious? Report