Military Connected Parent/Guardian Form-2020-2021

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Please complete this form for each parent/guardian currently serving as an active duty member of the U. S. Armed Forces. This information will be collected from parents once a year. If military status does not apply for the student, please mark box number 1.

As part of the Every Student Succeeds Act (ESSA) requirements, the U.S. Dept. of Education requires school districts to collect parent military status to be used when disaggregating accountability results - reporting how different groups of students perform on the state assessment (NH-SAS). The US DOE is implementing this requirement to ensure that students in military households are receiving an appropriate education. The US DOE wants to identify if the mobility of the family and the parent/guardian, results in academic challenges for students. Please know student levels data is NOT shared with the US DOE. The NHDOE only sends summary assessment counts - for example, 35 students who have a military parent/guardian, were proficient on the state assessment. Only the total number "35" is provided to the US DOE, not the specific student.

A student is considered to be an Armed Forces Family Member (military connected) if at least one parent or guardian during the school year is a member of the Armed Forces, or serves on active duty, or serves on full-time National Guard duty.

The following are federal definitions that should help determine which status is appropriate for a given student.
(A) Armed Forces means the Army, Navy, Air Force, Marine Corps, and Coast Guard.
(B) Active duty means full-time duty in the active military service of the United States, including full-time training duty, annual training duty, and attendance, while in the active military service, at a school designated as a service school by law or by the Secretary of the military department concerned. Such term does not include full-time National Guard duty.
(C) Full-time National Guard duty means training or other duty, other than inactive duty, performed by a member of the Army National Guard of the United States or the Air National Guard of the United States in the members status as a member of the National Guard of a State or territory, the Commonwealth of Puerto Rico, or the District of Columbia under section 316, 502, 503, 504, or 505 of title 32 for which the member is entitled to pay from the United States or for which the member has waived pay from the Unites States.
Where can I find out more information about this data submission? - More information regarding this data collection can be found on the U.S. Education Dept. website.

Email *

Student First Name *

Please enter first name of your child.

Student Last Name *

Please enter last name of your child.

For the purpose of data collection, please mark all that apply: *

1. Parents or Legal Guardians' Military Status does not apply for this student

2. Active duty in U.S. Armed Forces (not including National Guard)

3. Full-time National Guard

4. Student has parent or legal guardians in both 2 and 3

5. Student's parent(s) or legal guardian(s) are members of the Armed Services Reserves or are part time National Guard, and DO NOT fall into any of the above categories.

Required

Service Member Name *

Please enter first and last name. Enter n/a if not applicable.

Parent/Guardian Signature *

Please enter first and last name. I understand that by entering my name in the box below it is equal to providing my signature on this form.

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