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McKinney-Vento Homeless & Unaccompanied Homeless Youth

The form below is used to refer students and families who may be experiencing homelessness. It allows the Homeless Liaison to determine eligibility under the McKinney-Vento Act.

  • Include all school-aged children.
  • Also include children ages 0–5 and youth ages 16–18 who are not currently enrolled in school and have not graduated.
  • Indicate any services needed (e.g., school supplies, free meals, transportation).

Once completed, the form is submitted through the online platform and shared with the Homeless Liaison for review.

McKinney-Vento Homeless & UHY Referral form

Flow Chart for determining homeless eligibility