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McKinney-Vento Homeless Assistance Act

The McKinney-Vento Homeless Assistance Act provides preschool-aged and school-aged children certain rights or protections if your family lives in any of the following situations:

  • In a shelter, motel, vehicle, or campground
  • On the street
  • In an abandoned building, trailer or other inadequate accommodations, or
  • Doubled up with friends or relatives because you cannot find or afford housing

McKinney-Vento Eligibility Form

Required

Please complete all sections
Name of Parent/Guardianrequired
First Name
Last Name

Student 1

Namerequired
First Name
Last Name

Student 2 (if applicable)

Name
First Name
Last Name

Student 3 (if applicable)

Name
First Name
Last Name
McKinney-Vento Homeless Assistance Act of 2001
Title X, Part C of the No Child Left Behind Act - Sec. 725
 
An indication of nighttime residence of students who lacked, at any time during a school year, a fixed,  regular, and adequate nighttime residence and had a primary nighttime residence that was: shared with others due to loss of housing, economic hardship, or similar reason (1 & 6); a temporary shelter such as a hotel or motel room or campground (2 & 7); a supervised, publicly or privately operated shelter designed to provide temporary living accommodations (including welfare hotels, congregate shelters, and transitional housing for the mentally ill) or an institution that provides a temporary residence for individuals intended to be institutionalized (4 & 8); or a public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings (5 & 9). (See section 725,  Definitions, of the McKinney-Vento Homeless Assistance Act for a more detailed description of this data  element.) If there were more than one such residence during the school year, please indicate the primary residence at the time they were identified as homeless. The term “unaccompanied homeless student”  includes youth in homeless situations who are not in the physical custody of a parent or guardian.  
 
Please select all criteria that apply to this student(s)requiredPlease select up to 1 choice
Please select up to 1 choice
Digital Signature of parent, guardian or unaccompanied studentrequired
First Name
Last Name

McKinney-Vento resources