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Liaison: __ Nutrition Services __ Synergy Program ___Synergy Address UpdateDavid Douglas School District McKinneyVento Program Referral 202223 Name of student: ___ ID# ___ School: ___ Name of person
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01
Start by downloading the McKinney-Vento Referral Form-21 from a reliable source.
02
Read the instructions carefully to understand the purpose and requirements of the form.
03
Begin by filling out the student information section, which includes details like name, age, grade level, and contact information.
04
Indicate the living situation of the student, whether they are experiencing homelessness or residing in temporary housing.
05
Specify the reasons for referring the student for McKinney-Vento services, such as loss of permanent housing, economic hardship, or natural disaster.
06
Provide any additional relevant information or documentation that supports the referral, such as proof of homelessness or living arrangement.
07
Complete the form by signing and dating it, acknowledging the accuracy of the information provided.
08
Submit the filled-out McKinney-Vento Referral Form-21 to the designated authority or school personnel responsible for processing such referrals.

Who needs mckinney-vento-referral-form-21?

01
McKinney-Vento Referral Form-21 is needed by students who might be experiencing homelessness or residing in temporary housing.
02
This form helps identify students who are eligible for McKinney-Vento services, which can provide them with support and resources to ensure their educational stability and success.
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The McKinney-Vento Referral Form 21 is a document used to identify and support students experiencing homelessness under the McKinney-Vento Homeless Assistance Act.
Schools and local educational agencies are required to file the McKinney-Vento Referral Form 21 for students who are experiencing homelessness to ensure they receive appropriate support and services.
To fill out the McKinney-Vento Referral Form 21, provide accurate information about the student’s living situation, personal details, and contact information along with any necessary documentation that supports the student's eligibility for services.
The purpose of the McKinney-Vento Referral Form 21 is to facilitate the identification and provision of educational services to students who are homeless, ensuring they have access to the resources necessary for their education.
The form must report the student's personal information, current living situation, school enrollment details, and any pertinent documentation supporting their homeless status.
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