This document is intended to address the MCkiney-Venlo Homeless Assistance Act. Your Answers will help determine documents necessary to enroll the student.
Do you and the student live in a Fixed, regualr adepquate nighttime residency? ( If "yes" stop here. You must provide proof of homeownership or rental documents along with two current utility bills in your name as proof of residency.)
1. I declare that my family meets one of the following conditions for the McKiney-Vento Homeless Assistance Act: ( Please check all that apply ).
2. The student lives with:
3. I am:
This district will actively investigate all cases where it has reason to believe false information had been on an affidavit; including the
use of private investigators/SCS security to verify residency status ( Verification may include home visits). The district may refer cases in which
false information has been provided to counsel for Shelby County Schools for further - actions and/or file civil action to recover damages incurred
as a result of providing false information. Investigations that reveal students have enrolled on the basis of providing false information will lead to immediate withdrawal from the school.
I declare under penalty of perjury under the laws of this slate that the information provided here is true and correct and of my own personal knowledge.