Cherokee County Board of Education McKinney-Vento Residency Form 2023-2024

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This information will help determine if the student meets eligibility requirements to receive services under the McKinney-Vento Act for Cherokee County Schools.

A form must be completed EVERY year for EACH student enrolled in Cherokee County Schools.

Email *

Check the box or boxes that describe your student's current living situation. *

Sharing the housing of other persons due to: loss of housing, economic hardship or a similar reason (example: evicted, lost job, etc.) (Doubled-Up)

Living in a hotel/motel, shelter or similar setting

Living in a camper, vehicle, trailer park, campground, and/or streets

I am a student living with someone other that my parent or legal guardian.

Living in a building not originally designed for living purposes (barn, storage shed, or garage)

Living in substandard housing* (See the meaning of term listed below)

We have been displaced due to natural disaster (flood, tornado, fire, hurricane, etc.)

NONE of these choices apply (STOP HERE, no other action is required) Click NEXT once at the bottom of the page and then again on the second page, then submit at the bottom of the last page.

Required

*Substandard Housing

A home without power or water, leaks in your home, holes in the floor, busted or broken out windows, pest infestations (cockroaches and mice), mold issues, inadequate heating, and cooling, inadequate rooms for people living in the home or the condition of the home endangers the health, safety or well being of the family.

Name of Parent(s) or Guardian(s)

Address of current residence (Include City and Zip Code)

Phone Number

What can the McKinney-Vento program help your family with? Check all that apply.

Assistance with documentation (birth certificates, Immunization records, etc.)

School Supplies

Food

Housing

Transportation

Medical/Dental

Referral to other Agencies

Clothing, undergarments, socks and shoes

Do you have reliable internet service at your home?

Yes, I have wired or wireless internet service at my home.

Yes, but service is only available through my hotspot on my phone.

No, I do not have access to the internet at my home.

I certify that all of the information that I provided on this form is true and accurate.

Yes

Clear form

Never submit passwords through Google Forms.

This form was created inside of Cherokee County Schools. Report Abuse

Forms