NYS Homeless Liaisons Contact Information Form

Please use this form to update, correct or add to the Homeless Liaison information provided through the NYS-TEACHS website at https://www.nysteachs.org/homeless-liaison-contact-list.

I am completing this form for:

Myself

Someone else

	First Name (of person completing the form)

	Last Name (of person completing the form)

	Email (of person completing the form)

	Phone (of person completing the form)