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List all students for whom changes are in effect:
Student 1
Student 2
Student 3
Student 4
Address and/or Primary Contact Phone Number Change Proof of Residency is Required
The McKinney-Vento Act provieds aditional services to students living in transitional/temporary housing. Please answer the following:
Is your address a temporary living arrangement?
Is this temporary living arrangement due to loss of housing or economic hardship?
If yes to either question above, please indicate where students are living:
Where are students presently living? Check one box:
Parent/Guardian or Emergency Contact Information Changes
I affirm the above information is true and complete.
