HLF Eliminating Barriers Request Form

Eliminating Barriers to Learning Request Form
A request can support a student’s basic personal needs, contribute to helping this student come to or stay in school, or help them participate in a school activity they cannot afford, such as a team, band, or field trip.

Please use 1 form per household per school. Up to 4 students per household can be listed on this form. If there are multiple students from different households, please use a separate form for each family. If there are students from different schools in the same household, please ask the other school to complete a separate request.

Eliminating Barriers funding is available only for students registered to attend HDSB schools and does not include support for children who are not in school.

If you are submitting for a reimbursement please ensure you have both a completed cheque requisition and receipts for the request.

The maximum amount for each student is currently $250.

There are some items that HLF cannot fund through Eliminating Barriers, such as prescriptions, medical appointments, or non-school courses, but HLF can offer Walmart cards to offset costs for the family.
Your Name*

First NameLast Name
Your HDSB Email Address*
example@hdsb.ca
Your role is*

Principal/VPTeacherSocial WorkerSchool AdministrationCYCYouth Settlement SpecialistGuidance
Principal's Name*
Principal's Email*
example@hdsb.ca
City Name*
School Type*

ElementarySecondary

Eliminating Barriers to Learning Request Form