ADE Housing Information Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form helps determine if your student meets eligibility requirements for services under the McKinney-Vento Act - a federal law guaranteeing all children and youth the right to an equal education, regardless of their living situation. Protection under the McKinney-Vento Act extends to those who lack a fixed, regular, and adequate nighttime residence.

Child #1 Information

List all children in your family (birth through age 21).

Name: *

First & Last Name

School: *

Age: *

Grade: *

Date of Birth: *

YYYY

Do you have another child to add? *

Yes

Clear form

Never submit passwords through Google Forms.

This form was created inside of Bauxite School District.

Does this form look suspicious? Report

Forms