2021-2022 V.L.A Mid-Year Residency Survey

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In order to maintain accurate records for student residence, Village Leadership Academy is required to perform a mid-year check for residency information. This questionnaire will give us information concerning any changes to your residency status and will help to determine whether or not additional support and services may be available to our students. If you have questions regarding this form please contact the school at the phone, e-mail, or address listed below.
Email: andreadaigle@thevillagecharterschool.org Phone: 208-336-2000

Email *

Student name *

Question #1 Please choose which of the following situations the student(s) currently reside in (you can choose more than one): *

House or apartment with parent or guardian.

Motel, car, or campsite

Shelter or other temporary housing

With friends or family members (other than or in addition to parent/guardian)

Other (Please see below to write an explanation)

Have you moved recently? If so, please fill out Section 2.

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