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Student Housing Questionnaire


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Student Housing Questionnaire

The answers to the following questions can help determine the services this student may be eligible to receive under the McKinney-Vento Act 42 U.S.C.11435.
The McKinney-Vento Act provides services and supports for children and youth experiencing homelessness.required
If the student does not live in a home owned or rented by the parent or legal guardian due to loss of housing, economic hardship, or similiar reason, please check all that apply below.required
Multiple Choicerequired
Must contain a date in M/D/YYYY format
The student(s) named above have younger siblings/children (not yet school age) who are in need of developmental screening, community support, or referrals to early childhood services. The school counselor may be able to assist you with age-appropriate resources.