SY17-18-Screening-Sheet-v1 Preview on Page 1

SY17-18-Screening-Sheet-v1 2026

The document is a comprehensive registration and information collection form for the Susquehanna Valley Central School District. It includes sections for student and guardian details, screening questions, housing status under the McKinney-Vento Act, home language questionnaire, and authorizations for the release of academic and health records. The purpose is to gather necessary information to support student enrollment, assess eligibility for services, and ensure proper communication regarding the student's educational needs.

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Click ‘Get Form’ to open the SY17-18-Screening-Sheet-v1 in the editor.
Begin by entering the student's name and date of birth in the designated fields at the top of the form.
Fill out the gender and address information, ensuring accuracy for both physical and mailing addresses.
Provide parent or guardian information, including home phone, email, and employer details. Make sure to include multiple contact numbers for emergencies.
List siblings along with their respective schools and grades in the provided section.
Answer all screening questions thoroughly, as these will help determine eligibility for various programs.
Complete any additional sections regarding custody orders or special education needs if applicable.
Finally, review all entered information for accuracy before signing and dating the form at the bottom.

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