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Student Residency Form

PLEASE READ CAREFULLY AND COMPLETE FULLY
No student or family will be discriminated against based upon any of the information provided in this form. The information you provide is
confidential. The answers you give will help us determine the services your student may be eligible to receive under the McKinney-Vento Act.
Please Fill Out The Student Residency Form Below


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If you answered NO to ALL questions, please sign and date below.

Submit form to school personnel by clicking SEND at the bottom of the page.


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If you answered YES to ANY question above, please complete the remainder of this form.

Please add more information for questions 1-3.


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Please list all children (under 21 y/o) currently living with you, including those not yet old enough for school enrollment.


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By typing your name below, you agree to the following:

* I certify that the information provided above is correct and accurate.


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Required Fields