Migrant Education Program Questionnaire
Parent or Guardian's Name *
Phone or Cell Number *
Email Address
Physical Address *
PO Box # Address *
Has your family (or part of your family) traveled from your home to another location for subsistence activities this spring, summer, or fall? (If yes, please complete the rest of the questionnaire.) *
When was the last time you traveled?
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Where did you travel to and from?
Was your child (or children) in your household away from home for at least one night at a time, for a total of 7 nights, all within in year?
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Please list all children in your household who are younger than 20 years old.
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