Upper Rio Grande School District Housing Survey
The answers to the following questions can help determine the services your 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 or lack of a fixed, regular, and adequate night time residence.

Results of survey are confidential. 

If you are not experiencing the following living situation, you do not need to complete this form.
1. Presently, are you and/or your family living in any of the following situations? Check all that apply
Is you child living with a parent or legal guardian?
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If you have a unique housing situation, can the Upper Rio Grande School District contact you to discuss McKinney Vento and possible services. 
What is your name (First, Last) 
What is the best phone number to contact you?
What are the name(s) and grade(s) of your student(s) attending URGSD?
Names and ages of children in household under the age of 5.
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This form was created inside of Del Norte Consolidated School District.