McKinney-Vento Identification Form
If you have any questions regarding McKinney Vento eligibility, please visit the Indiana Department of Education's resource page: https://www.in.gov/doe/home/mckinney-vento-homeless-children-and-youth-program/

Please contact Ms. Ashley Cook, ICS Social Worker and McKinney-Vento Liason, with questions at ascook@ics-charter.org or (317) 203-9207. Please note that the Mckinney-Vento Liaison, Ms. Cook, is the only one that will see this information.


**McKinney-Vento Homeless Assistance Act which refers only to Subtitle VII-B of the Act, the Education for Homeless Children and Youths program (42 U.S.C.  11431-11435).

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Email *
PARENT/GUARDIAN CONTACT INFORMATION
Please provide current contact information below.

SPECIAL NOTE: If you are a student and identify as an "unaccompanied youth," please list yourself under "Parent/Guardian Contact Information" and complete the remainder of the form.
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Phone Number *
STUDENT INFORMATION
Please provide the below information about your student(s) enrolled ONLY in Irvington Community Schools. Families with more than three students should complete additional McKinney-Vento Identification Forms.
Student First Name *
Student Last Name *
What school does your child attend? *
Do you have any other children that attend ICES, ICMS, or IPA? *
If you answered yes above, please put those student(s) first and last name here:
CURRENT LIVING SITUATION
Please describe your living situation within the past 30 days.
Are you and/or your family (including your student) currently experiencing any of the following situations? (Select one option.) *
Required
Please check any of the following resources that you would like to learn more information about
A copy of your responses will be emailed to the address you provided.
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