By completing this questionnaire, you help the county 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the family last name and grade in the designated fields at the top of the form.
3. Indicate whether the student’s current address is a temporary living arrangement due to loss of housing or economic hardship by selecting 'Yes' or 'No'. If you select 'Yes', proceed to complete the rest of the form.
4. Select any applicable situations from the list provided that apply to the student. This helps determine eligibility for services.
5. Fill in student details such as name, school, student ID#, date of birth, and gender in their respective fields.
6. If applicable, provide information about siblings and include a parent signature at the bottom of the form.
7. Review all entered information for accuracy before submitting. You can submit this form online or via email as instructed.

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