MILITARY-CONNECTED YOUTH STUDENT INFORMATION UPDATE FORM
All Delaware public schools starting with the 2016 – 2017 school year are required to annually identify enrolled students who are “military-connected youth” pursuant to 14 DE Admin. Code 932, 14 Del.C. Chapter 1, §122 (b)(28), 10 U.S.C. §101(d) (2014), and the reauthorized Every Student Succeeds Act (2015), 20 U.S.C. 6301 et seq. in order to possibly provide your student with additional supports and services if needed.
Please read the following statements and check the appropriate box below.
• If you are a parent or a step-parent, only check the box that specifically applies to you, your duty status and branch of the United States armed forces.
• If you are a parent or a step-parent meeting the definition of box one or two, and there is an immediate family member residing in the same household that meets the definition of box three, then both boxes should be checked.
• If your student is not a “military-connected youth”, please check the fourth box, “Non-Applicable”.
Student First Name *
Your answer
Student Last Name *
Your answer
Student Grade *
Parents, Step-Parents or Immediate Family (more than one box may be selected) *
Required
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