Faribault Public School District Families in Transition Liaison: Vonna Dinse, 507-333-6186
Email *
McKinney-Vento is federal legislation stating that students (and families) who are experiencing a period of instability with their housing may be eligible for additional educational services.
All information shared on this form is confidential and is for the sole purpose of ensuring the rights of children and youth under the McKinney-Vento act.
First Name of person completing the form *
Last Name of person completing the form *
Relationship to student *
Best way to contact you for follow up information if needed (phone number/email address): *
The following situation has been indicated (if none of these applies, you more than likely do not meet McKinney-Vento's criteria): *
First Name of student living in situation *
Last Name of student living in situation *
School student is attending *
Grade student is in *
List of other students impacted by the same living situation:
Was a parent/guardian present? *
If parent/guardian present, what is the best way to reach them? Please include email address and/or phone number:
Additional information about the situation:
Follow Up:
A follow up contact may be made for required signatures and/or additional information.
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