Student in Transition (lacking adequate housing/unaccompanied youth)

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If you suspect any family with school age children lacking adequate housing or other housing challenges, please fill out the referral form below.

This information comes to the District Liaison. The District Liaison will coordinate with the appropriate building principals to provide further resources and assistance.

Family last name

Estimated age of child or children

Cokeville, Afton, Thayne, or Alpine?

Cokeville

Afton (surrounding areas)

Thayne (surrounding areas)

Alpine (surrounding areas)

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Reason for referral

Shelter Resident

Shared Housing (Doubled Up)

Transitional Housing

Motel/Hotel Resident

Campground/Tent

Unaccompanied Youth (not in the physical custody of a parent or guardian and lacking a fixed, adequate, and regular nighttime residence).

Other:

Clear selection

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This form was created inside of Lincoln County School District #2. Report Abuse

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