Student Housing QuestionnaireThe answers to the following questions can help determine the services this student may be eligible to receive under theMcKinney-Vento Act 42 U.S.C.
11435.
(Please see reverse side for more information)
If you own/rent your own home, you do not need to complete this form.
(Submit to District Homeless Liaison.
Contact
information can be found at the bottom of the page.)In a motel A car, park, campsite, or similar locationIn a shelter Moving from place to place/couch surfingOther_____________________________...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
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