Colton Joint Unified School District
Please complete the following information about your housing. This information will be kept confidential. This document is intended to address the McKinney-Vento Assistance Act under "Every Student Succeeds Act 2015". The answers to this residency information help determine additional services the student may be eligible to receive.
A child will not be removed from the child's family solely because the child's family is experiencing homelessness.
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Student's School of enrollment
150-Grand Terrace Elementary
325-Joe Baca Middle
330- Ruth O Harris Middle
340-Terrace Hills Middle
460-Grand Terrace High
520-Slover Mtn. High
Current living address:
Other children living in the home with you:
Presently, you and/or your family are living in which of the following situations:
Staying in a shelter(family shelter, domestic violence shelter, youth shelter) of FEMA trailer
Sharing housing with other(s) due to loss of housing, economic hardship, lad of adequate housing.
Living in a car, park, campground, abandoned building or other inadequate accomodations.
Temporarily living in a motel or hotel due to loss of housing, economic hardship, natural disaster
Living in a single-family residence that is permanent.
I am a student under the age of 18 and living apart from parent(s) or guardian.
The undersigned parent/guardian certifies that the information provided above is correct and accurate.
Parent/Guardian name completing this form.
Date completing this form.
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This form was created inside of Colton Joint Unified School District.