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6. . Present Housing Situation Where does your child stay at night? (Please check one.)  Home/apartment owned or rented by the parent(s)/guardian(s)  With a relative or friend (family does not have a residence)  In a shelter  In a motel  In an automobile  A campsite  In housing that is inadequate (i.e. no electricity, no running water, etc.)  Other housing (please explain) ________________________________ The information is located on the 2 nd page of the Student Enrollment form. The parent or guardian of each student is required to answer this question. If any answer other than Home ?apartment owned or rented by the parents/guardian is an indication that the student is homeless.

7. Homeless – Unaccompanied Youth (a homeless student who is not living with a parent or guardian) valid entries are: Homeless – Unaccompanied Youth (a homeless student who is not living with a parent or guardian) valid entries are: 1.Homeless and unaccompanied 2.Homeless but not unaccompanied 3.Blank(N/A)-homeless but not unaccompanied Office of Student Information 7

8. Homeless – Primary Nighttime Residence: Homeless – Primary Nighttime Residence: 1.Shelters, transitional housing, awaiting foster care 2.Doubled up (living with another family) 3.Unsheltered (cars, parks, campgrounds, temporary trailer, abandoned building) 4.Hotels/motels Office of Student Information 8

9. Homeless – Served by McKinney-Vento (a homeless student served by federal McKinney-Vento funds any time during the school year) valid entries are: Homeless – Served by McKinney-Vento (a homeless student served by federal McKinney-Vento funds any time during the school year) valid entries are: 1.Y=Served by McKinney- Vento 2.N=Not served by McKinney- Vento 3.Blank=Not served by McKinney-Vento Office of Student Information 9

10. 10 Dolores P Flagg Homeless Liaison 2601 Ketchum Memphis, TN 38107 901 416-7284 office 901 590-5677 mobile 901 416-7283 fax