UPSD Student Housing Questionnaire
The answers to the following questions can help determine the services this student may be eligible to receive under the McKinney-Vento Act 42 U.S.C. 11435. The McKinney-Vento Act provides services and supports for children and your experiencing homelessness. 

If the student lives in a home owned or rented by the parent or guardian, you do not need to complete this form unless there are inadequate facilities (no water, heat, electricity, etc.).

If the student does not live in a home owned or rented by the parent or guardian, please complete this questionnaire. Your student's counselor will make contact to determine eligibility. If you have any questions or concerns, please contact your student's school counselor for more information. Or you may contact our District Homeless Liaison at 253-566-5600. 

Email *
If you do not own or rent your home or apartment, please check all that apply below: *
Required
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of University Place School District. Report Abuse