Hispanic-Serving School District (HSSD) Affiliation Application

You will need the following information to complete HACU’s HSSD affiliation application. Please have this information ready before you proceed. You may wish to print this page as it may assist you as you go through the application process.

Total Enrollment Statistics for Fall 2011. “Total Enrollment” is defined as the number of students registered in a school at a designated time in the school year as determined for state and federal reports. 

FALL 2011

Total number of students enrolled in elementary school (Grades K-6)

Total number of Hispanic students enrolled in elementary school (Grades K-6)

Total number of students enrolled in middle school (Grades 7-8)

Total number of Hispanic students enrolled in middle school (Grades 7-8)

Total number of students enrolled in high school (Grades 9-12)

Total number of Hispanic students enrolled in high school (Grades 9-12)

Key Institutional Contacts for HACU.  This includes prefixes (e.g., Dr., Ms., etc.), titles, addresses, telephones, faxes, and e-mails for the following individuals:

·        Superintendent

·        District HACU Contact – This contact is someone at your institution other than the Superintendent responsible for maintaining your institution’s membership in HACU.

Editing On-line Information. You will be able to review your information and make changes to your institutional contacts after you have saved the contact’s information or at the end of the enrollment process at the “Collected Information Summary.” If you choose to edit from the “Collected Information Summary,” please make sure that when you complete your corrections, you press “Save” to return to the end of the application process. Do not press your browser’s “Back” button at any time of during the enrollment process or you will lose the information you’ve entered up to that point.

Declaration By or on Behalf of the Superintendent. As required by HACU’s Bylaws, you will be asked to declare that the Superintendent of your institution authorizes this membership and that the institution seeking membership is in agreement with the purposes of the Association (HACU) and will take the appropriate actions to achieve them. HACU’s mission is “to promote the development of member colleges, universities and school districts; improve access to and the quality of post-secondary educational opportunities for Hispanic students; and meet the needs of business, industry and government through the development and sharing of resources, information and expertise.” For a copy of HACU’s Bylaws contact Imelda Bósquez at (210) 576-3214 or ibosquez@hacu.net.

Method of Payment. This section will ask you how your institution intends to pay for its membership e.g., P.O., Check, Credit Card (MasterCard, VISA, American Express). You will not be required to pay immediately. However, if you choose the credit card option, your card will be charged upon approval of your membership. If you do not have a purchase order (P.O.) number you can enter “In Progress” in this field. The Superintendent and District HACU Contact will be e-mailed and mailed an invoice, which they may forward to the appropriate individual at your institution responsible for processing this payment. You can estimate your dues by referring to the Membership Dues and Information page. An invoice cannot be generated until the membership enrollment form is submitted. Payment is net due within 30 days from approval of your membership application.

Submit Your Application.  At the end of the application, please press “Submit” to submit your application to HACU’s Membership Department. HACU will review and approve your application within approximately five working days from submission. If there are any questions regarding your application, HACU will contact either the District HACU Contact and/or the Superintendent.

Complete Application in One Session. Once you start completing the on-line membership application, information about your institution will begin to be recorded in our database. If you exit while the enrollment session is in progress, your information will be lost.

Membership Information. The information provided in the membership application may be included in HACU publications including the HACU Membership Directory and will be used to disseminate information to the institutional contacts named in this application by HACU and by outside sources to which the information may be provided.

 CLICK HERE to login and RENEW your HSSD affiliation

NOTE: For school districts renewing their HACU HSSD affiliation, you will need the user name and password for the Superintendent or the District HACU Contact in order to renew your institution’s membership. Please have these ready so you may log in. Your user name is on your HACU Member Card. To retrieve your password, please visit the Member Login Info link or if you need your user name you may contact HACU’s Membership Department at memberinfo@hacu.net.