Example Shelter Name - osse - osse dc 2025

1. Click ‘Get Form’ to open the Homeless Youth Census Form in the editor.
2. Begin by entering the Example Shelter/School Name, Address, and Phone Number/Fax Number at the top of the form.
3. Fill in the Student’s First and Last Name, followed by their Guardian’s First and Last Name.
4. Provide the Student's Age, Date of Birth (DOB), Grade, School name, and Student ID. Ensure all details are accurate for proper identification.
5. Input the Entry Date when the youth was identified as homeless. Select Gender and Race from the provided options.
6. If applicable, enter the current Address where the youth is living if not sheltered. Include a contact Phone number.
7. Indicate Nighttime Residency Status by selecting one of the options: Sheltered, Doubled-Up, Unsheltered, Hotel/Motel, or Unaccompanied.
8. Complete information for Referring Person including their First/Last Name and Position.
9. Check any applicable categories under IEP, LEP, IDEA, or Migratory to ensure comprehensive support for the youth.
10. Finally, review all entries for accuracy before submitting via mail/email/fax to The Office of Transitory Services as indicated at the bottom of the form.

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