Southern Wake Academy Student Residency Questionnaire Form 2022-2023
This form must be completed by all parents and unaccompanied youth. The answers to the following questions can help determine the services this student may be eligible to receive under the Federal McKinney-Vento Act 42 U.S.C. 11435. The McKinney-Vento Act provides services and supports for children and youth experiencing homelessness
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Email *
Person completing the form (first and last name)  *
Best phone # to contact, if necessary, of the person completing the form *
Name of student (last, first, middle) *
Relation to the student *
Student date of birth *
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/
DD
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YYYY
Student Grade *
Student age *
Student Gender *
Current physical address of residence for the student *
Current mailing address for the student *
Last school attended *
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