Student/Family Residence Questionnaire

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Your child may be eligible for additional educational services through Title I Part A, Title I Part C-Migrant, and/or Federal McKinney-Vento Assistance Act. Eligibility can be determined by completing this questionnaire.

Presently, are you and your family living in any of the following situations?

Staying in a shelter (family shelter, domestic violence shelter, youth shelter) or FEMA trailer

Waiting for foster care placement

Sharing the house of others due to loss of housing, economic hardship, or similar reason

Living in a car, park, campground, abandoned building, or other inadequate accommodation

Temporarily living in a hotel or motel due to loss of housing, economic hardship, or similar reason

Living alone as a minor student(s) without an adult (unaccompanied youth)

None of the above, but I'd like to talk with a social worker about housing resources

None of the above.

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