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Example Forms and Documentation

Examples of Forms and Documents Created by Districts and Other Agencies

 

McKinney-Vento Rights

Editable Educational Rights Poster for Parents and for Youth
National Center for Homeless Education (NCHE) (WI State Coordinator information is included and you can insert homeless liaison contact information)

Editable "Know Your Rights" Flyer in English and Spanish
SchoolHouse Connection (WI State Coordinator information is included and you can insert homeless liaison contact information)

McKinney-Vento Comprehensive Brochure: English, Spanish
National Center for Homeless Education (NCHE) 

Sample Annual Notice
For communicating rights to parents and community members, frequently posted online or in a school newsletter

District Examples:

Appleton Area School District Brochure

Elkhorn Area School District Brochure

Green Bay Area Public Schools Brochure: English, Spanish

Waukesha School District McKinney-Vento Rights Notification Letter

Training Staff in Your District
Eligibility, Identifying and Enrolling Students

Homeless Eligibility Flowchart

Sample Questions to Ask the Students or Parents for Information Gathering

Sample Enrollment Identification Language for McKinney-Vento and Migratory Students, PDF, Word Document

Sample Caregiver Form
National Center for Homeless Education (NCHE)

Forms for District Internal Recordkeeping Purposes

Homeless Student Identification Form for local use
(Fillable PDF) Homeless Student Identification Form for local use

Families in Transition Student Identification Form
Wisconsin Rapids School District

Family Needs Assessment
School District of Black River Falls

Identification and Transportation for Students 
Middleton-Cross Plains Area School District

Family Data Sheet
Ashwaubenon School District

Residency questionnaires/ Forms for families to self-identify as experiencing homelessness (for use during enrollment with families/students)

Families in Transition Questionnaire - English and Spanish
Racine Unified School District

Eligibility Form/Residency Questionnaire
Middleton-Cross Plains Area School District

McKinney-Vento Voluntary Survey
Montello School District

Policies, Procedures, Dispute Forms

Homeless Education Program Policy and Procedure
Appleton Area School District

Standard Operating Procedures for Families in Transition
Racine Unified School District

McKinney-Vento Program Overview - Procedural Guide
Green Bay Area Public School District

Dispute Resolution Documents

Student Placement Dispute Process
Ashwaubenon School District

McKinney-Vento Dispute Resolution Process and Forms
Shawano School District

Families in Transition Dispute Process and Forms 
Racine Unified School District

Transportation Forms
Other District Examples
Release of Information, Community Outreach

*The DPI EHCY team has received permission from LEAs to post these example forms/documents and received permission for other LEAs to adapt the forms for their own use.

For questions about this information, contact Kristine Nadolski (608) 267-7338