Campus: ____________________________________________________________________2020-2021

For Office Use Only

Enrollment Date Local ID # Teacher Assigned: Grade:

Date: _________________________ Current Grade: __________ Grade Last Year: __________ Student’s Legal Name: ______________________________________________________________________________________ Last First Middle Suffix: Jr. □ Sr. □ III □ IV □ □ Male □ Female SS# ____________________________________________ (copy of SS card required) Current Age ___________ Birth Date ___________________________ Place of Birth: _________________________________________________ City State/Country Please indicate who the student lives with (check all that apply): □ Father □ Stepfather □ Foster Care (Form 2085 or court order required) □ Mother □ Stepmother □ Legal Guardian (Proof of Guardianship required) □ Grandparent □ Temporary Guardian (Signed Power of Attorney form required) Education Information: □ Coming from another Alvin school □ Coming from another school in Texas □ Coming from out of state □ First time in the United States Has this student ever attended an Alvin ISD school? ___________Yes __________No Last school attended: ________________________________________________________________________________________ School Name School District ________________________________________________________________________________________ City State Zip Phone Number Last year Attended: _____________ Last grade level: ______________ Was the student ever enrolled in any of the following programs? (Check all that apply) □ Gifted/Talented □ Special Education □ Free/Reduced Lunch □ Migrant □ Bilingual □ Resource □ Speech Therapy □ Immigrant □ ESL □ Self Contained □ Physical Therapy □ 504 □ Tutorials □ Counseling □ Occupational Therapy □ Dyslexia Has the student ever been Retained? ___________Yes __________No Grade: ______________ Documentation Required for Enrollment: □ Copy of Student’s birth Certificate □ Proof of Residency

□ Copy of Student’s Social Security Card □ Parent/guardian identification □ Student’s Immunization Records

Family #1 Information (where the student lives): Parent/Guardian 1 Parent/Guardian 2 Name: __________________________________________ Name: ___________________________________________ Relationship to student: ___________________________ Relationship to student: ____________________________ Date of Birth: ____________________ Legal guardian? Y N Date of Birth: _________________ Legal guardian? Y N Cell Phone: ________________________________ Cell Phone: ________________________________ Home Phone: ______________________________ Home Phone: _______________________________ Work Phone: ______________________________ Work Phone: _______________________________ Email: ___________________________________________ Email: ____________________________________________ Required for Skyward Family Access Required for Skyward Family Access Home Address: ______________________________________________________________________________________________ Street Apt # City State Zip Mailing Address: ____________________________________________________________________________________________ (if different from above) Street Apt # City State Zip Family #2 Information: Parent/Guardian 1 Parent/Guardian 2 Name: __________________________________________ Name: ___________________________________________ Relationship to student: ___________________________ Relationship to student: ____________________________ Date of Birth: ____________________ Legal guardian? Y N Date of Birth: _________________ Legal guardian? Y N Cell Phone: ________________________________ Cell Phone: ________________________________ Home Phone: ______________________________ Home Phone: _______________________________ Work Phone: ______________________________ Work Phone: _______________________________ Email: ___________________________________________ Email: ____________________________________________ Required for Skyward Family Access Required for Skyward Family Access Home Address: ______________________________________________________________________________________________ Street Apt # City State Zip Mailing Address: ____________________________________________________________________________________________ (if different from above) Street Apt # City State Zip List other children residing in household:

Last Name First Name Date of Birth School

_ I declare the above information to be true and correct to the best of my knowledge, and give Alvin ISD permission to request my child’s records from previous schools attended. _______________________________________________________ __________________________ Parent/Guardian Signature Today’s Date

Alvin Independent School District 301 E. House St., Alvin, TX 77511

(281) 388-1130

Dear Parent, By law, if parents are legally separated or divorced, each parent has equal rights to the custody of the child/children UNLESS a parent has a court order that indicates which parent has custody of the child/children. The school MUST HAVE A COPY OF THE COURT ORDER on file, otherwise, either parent may check the child out of the school with proper identification. I have read the above statement of the law. __________________________ Student’s Name

__________________________ ______________________ Parent/Guardian Signature Date ________________________________________________________________________________________________ Estimado Padres, Por ley, si los padres están legalmente separados o divorciados, cada padre tiene los mismos derechos en la custodia del niño o de los niños A MENOS QUE uno de los padres tenga una orden de la corte que indique a el padre que tiene la custodia del niño o de los niños. La escuela DEBE TENER UNA COPIA DE LA ORDEN DE LA CORTE en sus archivos, si no, cualquiera de los padres puede presentar identificación apropiada y sacar al estudiante de la escuela. Yo he leído la declaración de la ley mencionada arriba. __________________________ Nombre del Estudiante

__________________________ ______________________ Firma de Padre/Tutor Fecha

Alvin Independent School District

THIS FORM MUST BE COMPLETED, SIGNED, AND RETURNED TO SCHOOL

Alvinisd.net 301 E. House St. (281) 388-1130

Alvin, Tx 77511 False Information

Please read the following information carefully before signing below: Education Code 25.0002 (d) When accepting a child for enrollment, the District shall inform the parent or other person enrolling the child that presenting false information or false records for identification is a criminal offense under Penal Code 37.10 and that enrolling the child under false documents makes the person liable for tuition or other costs as provided below: Education Code 25.001 (h) A person who knowingly falsifies information on a form required for a student’s enrollment in the District shall be liable to the District if the student is not eligible for enrollment, but is enrolled on the basis of false information. For the period during which the ineligible student is enrolled, the person is liable for the maximum tuition fee the District may charge [see FDA (Legal)] or the amount the District has budgeted per student as maintenance and operating expense, whichever is greater. Alvin I.S.D. may enforce these codes to the fullest extent. I have read the preceding Education Code statements and fully understand the consequences of falsification of documentation. ____________________________________ ____________________ Signature of Parent/Legal Guardian Date ____________________________________ ____________________ TX Driver’s License Officer

THIS FORM MUST BE COMPLETED, SIGNED, AND RETURNED TO SCHOOL Name of Student______________________________________ Grade ___________

2020-2021 Student Handbook Please read and discuss with your child the information in this abbreviated Student Handbook, which includes the Student Code of Conduct. You and your child should sign at the bottom once you have reviewed this information. Your signature acknowledges that you understand that you are receiving this abbreviated copy of the student handbook and that the complete handbook can be accessed online at www.alvinisd.net in accordance with Alvin ISD Board Policy and the Texas Education Code. If you prefer a paper copy of the handbook, please notify the school principal.

My child and I have reviewed the abbreviated copy of the Student Handbook and the Student Code of Conduct and I understand that my child will be subject to school discipline and possibly to criminal prosecution if he or she is found to have violated the District’s Student Code of Conduct. I also understand that my child will be held accountable for his/her behavior and will be subject to disciplinary consequences outlined in the code. Pursuant to House Bill 603 of the 79th Legislature, consideration is given [in a decision to order suspension, removal to a disciplinary alternative education program (AEP), or expulsion] to self-defense, intent or lack of intent at the time the student engaged in the conduct, a student’s disciplinary history, or a disability that substantially impairs the student’s capacity to appreciate the wrongfulness of the student’s conduct.

One of the behavior management techniques listed in the Student Code of Conduct that may be used at some campuses is corporal punishment. If it is used at your child’s school, please circle and initial yes if you give permission for corporal punishment to be administered or no if you do not want corporal punishment to be administered. _____ Yes _____ No

Students are assigned a password to access the internet for research, information, etc. and are always closely monitored when using the internet. Students must agree to abide by the District’s Electronic Acceptable Use Policy (located in the Student Handbook), and understand that any violation of the regulations is unethical and may constitute a criminal offense. Should a student commit any violation, his/her access privileges may be revoked, disciplinary and/or appropriate legal action may be taken. If you do not want your child to have access to the internet through a school computer, please notify the principal in writing within 10 days after you receive this abbreviated copy of the handbook. According to state law and the federal Family Educational Rights and Privacy Act (FERPA), certain “directory information” about students (name, address, telephone number, date and place of birth, awards {honor roll, top graduates, science fair, etc.}, photographs, grade level, participation in officially recognized activities and sports, weight and height of members of athletic teams, dates of attendance, enrollment status, e-mail address) will be released to anyone (institutions of higher education and military recruiters as indicated in Section 9528 of the No Child Left Behind Act) who follows District-approved procedures for requesting it, unless the parent objects to the release of directory information about their child. Information (listed above) that you do not want released should be indicated in writing to the principal within 10 days after you receive this abbreviated copy of the handbook. From time to time, students are photographed, videotaped, or recorded by a representative of the school district or the local media for purposes of safety, maintenance of discipline in school or on school buses, any purpose related to a co-curricular or extra-curricular activity, awards, or any purpose related to regular classroom instruction. (Examples include, but are not limited to newspaper, photo or work posted on website, yearbook, etc.). There is no financial remuneration if photos or work is used and Alvin ISD is released from any future claims, as well as any liability arising from the use of said items. If you do not want your child photographed or video taped or his/her work used, please notify the principal in writing within 10 days after you receive this abbreviated copy of the handbook. I have read the above information. Parent’s Signature ______________________________________ Student’s Signature _____________________________________

Educational opportunities are offered by the Alvin Independent School District without regard to race, color, national origin, sex or disability.

Texas Education Agency

Texas Public School Student/Staff Ethnicity and Race Data Questionnaire

The United States Department of Education (USDE) requires all state and local education institutions to collect data on ethnicity and race for students and staff. This information is used for state and federal accountability reporting as well as for reporting to the Office of Civil Rights (OCR) and the Equal Employment Opportunity Commission (EEOC). School district staff and parents or guardians of students enrolling in school are requested to provide this information. If you decline to provide this information, please be aware that the USDE requires school districts to use observer identification as a last resort for collecting the data for federal reporting. Please answer both parts of the following questions on the student’s or staff member’s ethnicity and race. United States Federal Register (71 FR 44866)

Part 1. Ethnicity: Is the person Hispanic/Latino? (Choose only one) Hispanic/Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

Not Hispanic/Latino

Part 2. Race: What is the person’s race? (Choose one or more) American Indian or Alaska Native - A person having origins in any of the original peoples of North and South America (including Central America), and who maintains a tribal affiliation or community attachment.

Asian - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

Black or African American - A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander - A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

White - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

________________________________

Student/Staff Name (please print)

________________________________

(Parent/Guardian)/(Staff) Signature ________________________________

Student/Staff ID # ________________________________

Date

This space reserved for Local school observer – upon completion and entering data in student software system, file this form in student’s permanent folder.

Ethnicity – choose only one: _____ Hispanic / Latino _____ Not Hispanic/Latino

Race – choose one or more: _____ American Indian or Alaska Native _____ Asian _____ Black or African American _____ Native Hawaiian or Other Pacific Islander _____ White

Observer signature: Campus and Date:

Alvin ISD FAMILY SURVEY Name of the Child _______________________________D.O.B. ___________ Age _____ Grade _____ School Name: ____________________________________ Date: ______________ Dear Parents, In order to better serve your children, the school district would like to identify families and out-of-school youth who are agricultural or fishing workers and who may qualify to receive additional educational services. The information provided will be kept confidential. Please answer the following questions and return this survey form to your child’s school. 1. Have you done seasonal or temporary agricultural or fishing-related work (e.g., field work, canneries, lumbering,

dairy work, or meat processing) during the last 3 years?

Yes ____ No_____ 2. Have you moved between school districts and/or states during the last 3 years due to economic necessity?

Yes ____ No_____

3. Do you have a high school aged child under the age of 22 who lacks a U.S. issued high school diploma or Certificate of High School Equivalency (HSE/GED) and is currently not enrolled in school?

Yes ____ No_____

The Migrant Education Program offers a variety of supplemental academic and support services to all identified migrant children and out-of-school youth who move with their families to harvest the fruits and vegetables that help feed our nation. Services are provided by school districts and the community and vary by district regardless of immigration status. Make sure you complete and return this survey to your child’s school. An education representative may contact you to provide additional information and see if your child is eligible for the Migrant Education Program. Please provide the following information:

Parent or Guardian Name _______________________________________________________________

Telephone Number ___________________________________________________________________

Best time to contact you _______________________________________________________________

For Campus Use Only:

If answer Yes, to questions 1 & 2 or Yes to 1, 2 and 3 please send form to Araceli Guerrero at FSP

Alvin Independent School District Military Connected Student Form

PLEASE RETURN THIS FORM TO YOUR CHILD’S CAMPUS ONLY IF YOUR CHILD MEETS ONE OF THE CRITERIA BELOW

In 2009 The Texas Legislature adopted the Interstate Compact on Educational Opportunity for Military Students – Texas Education Code Chapter 162. This legislation requires schools to recognize and extend certain privileges to students who are military dependents and to assist military dependent students in the transition process of changing schools when their military parents are reassigned and forced to relocate. Parent Name: __________________________________________ Student Name: _____________________________Date of Birth: _____________ Grade: ___________ Please check one box below to indicate if your child is a dependent of a member of: For all students: Active Duty: Army, Navy, Air Force, Marine Corps, or Coast Guard [This includes Missing in Action (MIA)] Texas National Guard Reserve Duty: Army, Navy, Air Force, Marine Corps, or Coast Guard

Was the student a dependent of a member of a military or reserve force in the United State military who was killed in the line of duty?

FAVOR DE REGRESAR ESTA FORMA A LA ESCUELA DE SU HIJO SOLAMENTE SI SU HIJO

CUMPLE CON ALGUNO DE LOS SIGUIENTES CRITERIOS En el 2009 la Legislatura de Texas adoptó el Acuerdo Interestatal de oportunidad educacional para estudiantes militares – Código de educación de Texas capítulo 162. Esta legislación indica que las escuelas reconozcan y extiendan ciertos privilegios a los estudiantes que dependen de militares y ayudar a los estudiantes que dependen de militares en los procesos de transición cuando sus padres militares sean reasignados y forzados a reubicarse. Nombre del padre: __________________________________________ Nombre del estudiante: ____________________________ Fecha de nacimiento: ____________ Grado: ______ Favor de marcar la caja para indicar si su hijo es un dependiente de un miembro de: Para todos los estudiantes:

Servicio Activo: Ejército, Marina, Fuerza Armada, Infantería de Marina o la Guardia Costera [Incluye: Desaparecido en combate (MIA)] Guardia Nacional de Texas Reserva: Ejército, Marina, Fuerza Armada, Infantería de Marina o la Guardia Costera ¿El estudiante era dependiente, de una fuerza militar o de una reserva del ejército de los Estados Unidos, que fue asesinado en el cumplimiento de su deber?

TRANSPORTATION INFORMATION

Elementary Students Only

Walker Half-Day Students Only, Circle one: Bike Rider Car Rider AM PM Day Care Bus

Student’s Name __________________________ _ Grade ______ Parent/Guardian’s Name ______________________________________________ Telephone # ________________________ Physical Address ______________________________________________________________________

Foster Care Immediate Enrollment Form 

 

Date ________________  

Student Name: __________________________    DOB: ____________    Gender: _______     

Receiving School: __________________________________ 

Is the student in Foster Care?        Yes (Proceed with completing the entire form) 

            No (No further completion is needed) 

 

Foster Parent/Placement Name: __________________________________________________   

Foster Parent/Placement Address: _________________________________________________   

CPS/Child‐Placing Agency Name: __________________________________________________   

Date Placed with Agency: ________________________________________________________   

Agency Contact Name: _______________________________________  Phone: ____________    

Last School Attended/School District: __________________________  Current Grade:  _____   

Information on status of parental rights: ____________________________________________ 

Does student have IEP?           ______ Yes        _______ No           _______ Unknown 

Does student have 504 Plan?   ______ Yes         ______ No           _______ Unknown 

 

Enrollment Certifications 

I am a representative of the agency to whom the court has committed or the parent has entrusted the child’s care 

through a voluntary entrustment or non‐custodial agreement of the above‐named child. This child meets the definition 

of a child placed in foster care in § 25.007 of the Texas Education Code; therefore, I am certifying the child is eligible for 

immediate enrollment.  

 

To the best of my knowledge, _____________________________ is in good health and is free from communicable or 

contagious disease. If documentation of physical exam, birth certificate, social security number, and/or immunization 

record is unavailable at the time of enrollment, they must be provided to the school within 30 days of enrollment. 

 

______________________________________         ____________ 

CPS or Licensed Child Placing Agency Signature               Date 

Release of Information 

I, _____________________________________, as legal custodian/guardian of ___________________, hereby authorize 

schools, their agents and employees to release student records for the purposes of immediate educational enrollment at 

___________________________ (school of enrollment).  

 

 

Legal Custodian/Guardian Signature             Date 

 

 

Campus Registrar Signature              Date 

_____2085  

Alvin Independent School District

Request for Food Allergy Information

This form allows you to disclose whether your child has a food allergy or severe food allergy that you believe should be disclosed to the District in order to enable the District to take necessary precautions for your child’s safety.

“Severe food allergy” means a dangerous or life-threatening reaction of the human body to a food-borne allergen introduced by inhalation, ingestion, or skin contact that requires immediate medical attention.

Please list any foods to which your child is allergic or severely allergic, as well as the nature of your child’s allergic reaction to the food.

Food: Nature of allergic reaction to the food:

The District will maintain the confidentiality of the information provided above and may dis-close the information to teachers, school counselors, school nurses, and other appropriate school personnel only within the limitations of the Family Educational Rights and Privacy Act and District policy. [See FL]

Student name: Date of birth:

Grade:

Parent/Guardian name:

Work phone: Home phone:

Parent/Guardian Signature: Date:

Date form was received by the school:

Alvin Independent School District Home Language Survey

19 TAC Chapter 89, Subchapter BB §89.1215 (Home Language Survey applicable ONLY if administered for students enrolling in pre-kindergarten through grade 12)

TO BE COMPLETED BY PARENT OR GUARDIAN FOR STUDENTS ENROLLING IN PREKINDERGARTEN THROUGH GRADE 8 (OR BY STUDENT IN GRADES 9-12): The state of Texas requires that the following information be completed for each student who enrolls in Texas public school for the first time. It is the responsibility of the parent or guardian, not the school, to provide the language information requested by the questions below.

Name of Student: ______________________________________ Student ID# _____________________________ Address: _____________________________________________ Telephone#: ____________________________ Campus: _____________________________________________ Grade _________________________________ Note: Please indicate only one language per response.

(1) What language is spoken in your home most of the time? __________________

(2) What language does your child speak most of the time? ___________________

o Has your child attended any public school in the United States? Yes No

o Date of Initial Entry into U.S schools ___________________ _______________________________________________ _________________ Signature of Parent or Guardian Date NOTE: If you believe you made an error when completing this Home Language Survey, you may request a correction, in writing, only if: 1) your child has not yet been assessed for English proficiency; and 2) your written correction request is made within two calendar weeks of your child’s enrollment date.

Dear Parent or Guardian: To determine if your child would benefit from Bilingual and/or English as a Second Language program services, please answer the two questions below. If either of your responses indicates the use of a language other than English, the school district must conduct an assessment to determine how well your child communicates in English. This assessment information will be used to determine if Bilingual and/or English as a Second Language program services are appropriate and to inform instructional and placement recommendations. Once your child is assessed, changes to the Home Language Survey responses are not permissible. If you have questions about the purpose and use of the Home Language Survey, or you would like assistance in completing the form, please contact your school/district personnel. For more information on the process that must be followed, please visit the following website: http://web.esc20.net/LPAC-Interactive/InteractiveFlowchart-EN.htm

Alvin Independent School District Medical Emergency Form

Student’s Legal Name Last First Middle

Sex M F

Grade Homeroom Teacher

Date of Birth M/D/Y

Street Address City Zip Mailing Address City Zip

Name of last school attended City State Zip

The student lives with Father & Mother Father Mother Guardian Other (please specify)

Mother/Guardian’s Name

Cell Phone Work Phone

Home Phone Email

Father/Guardian’s Name

Cell Phone

Work Phone Home Phone

Email

Name of student’s brothers/sisters 1.

School Attending

Name of student’s brothers/sisters 3.

School Attending

2.

4.

LIST NEIGHBORS OR NEARBY RELATIVES WHO WILL ASSUME TEMPORARY CARE OF THE STUDENT IF YOU CANNOT BE REACHED Name

Relationship to Student Cell Phone Work Phone Home Phone

Name

Relationship to Student Cell Phone Work Phone Home Phone

Name

Relationship to Student Cell Phone Work Phone Home Phone

Health Information If yes, please explain.

Condition Yes Comments Condition Yes Comments

*Allergy To Food Are emergency medications required?

Hypoglycemia

*Allergy To Insects Are emergency medications required?

Kidney/Bladder Disorder

Allergy To Medication Neurological Disorder

Allergy to Latex Orthopedic Impairment

*Asthma Does the student use an inhaler? If uses at school, action plan required.

*Seizure Disorder Are emergency medications required?

Cancer Psychosocial - Behavior/Emotional

Chickenpox (If yes, when?) Vision Problem/Glasses/Contacts

*Diabetes Takes medication at home daily If yes, for what condition

Hearing Impairment *Takes medication at school daily If yes, for what condition

Heart Condition Other

Additional Comments:

*If you marked YES to any above medical conditions, please see school nurse for appropriate action plans. All action plans, medication forms, and medical accommodations must be updated with each new school year.

***HEALTH INFORMATION MAY BE SHARED WITH SCHOOL AND EMERGENCY PERSONNEL ON A NEED-TO-KNOW BASIS*** Parents are expected to share the student’s health condition/s with the student’s teacher/s.

Student’s Physician’s Name

Address Phone

Medical Insurance Yes No Medicaid Yes No Medicaid Card Number Hospital Preference

IN THE EVENT OF AN EMERGENCY, I HEREBY AUTHORIZE ALVIN INDEPENDENT SCHOOL DISTRICT OFFICIALS TO SECURE MEDICAL TREATMENT. I UNDERSTAND THE STUDENT IS GENERALLY TRANSPORTED BY AMBULANCE TO THE NEAREST EMERGENCY CARE FACILITY. I WILL NOT HOLD THE SCHOOL DISTRICT OR ITS EMPLOYEES FINANCIALLY RESPONSIBLE FOR THE EMERGENCY CARE AND/OR TRANSPORTATION FOR SAID STUDENT.

______________________________________________________________ ____________________________________________________________

Signature of Parent or Legal Guardian Date

Required Form

For Office Use Only: Approved ___ Not Approved___ Signature: ______________________

Please completely fill out 1 form for each student Print on lavender paper for easy identification

Student Residency Questionnaire, 2020-2021 The questionnaire is in compliance with the McKinney-Vento Act, 42 U.S.C. 11431 et seq. Your answers will help determine if the student

meets eligibility requirements for services under the McKinney Vento Act. School: _______________________________ Grade: _____________ Student ID: _______________

Student Name: ________________________Date of Birth: _____________ Age: ______ Gender: __ M __ F

Address: _____________________________________________ Contact Number: ________________

Is the student an unaccompanied youth? (e.g.: kicked out by parent, abandoned by parent or living on their own) □ Yes or □ No

Name of person enrolling student: __________________________________

Person enrolling student: □ Self □ Parent □ Legal Guardian (court appointed) □ Caregiver (e.g.: friends, relatives, etc.)

Name of person(s) you are residing with: _________________________________________________ Registrars: This person will be listed as the contact for the student, even if he or she is unaccompanied

1. Is the student’s current residence owned or rented by a parent/legal guardian? □ Yes □ No 2. Is the dwelling operating with working electricity and running water? □ Yes □ No

I. Is the student’s address temporary due to a loss of housing, economic hardship or natural disaster? □ Yes □ No

II. Where is the student currently living: (Please check all that may apply) □ In the home of a friend or relative □ In a shelter □ In transitional housing (housing available for a specific amount of time or paid for by an organization □ In a hotel/motel □ In a tent, car, van, abandoned building, on the streets, at a campground or unsheltered location

III. Please select the factors contributing to the students living situation: □ Family issues such as divorce, domestic violence, and family conflict. □ Home issues such as lack of electricity, water, heat, adequate home repair, and overcrowding, etc. □ Military: Parent/Guardian deployed, injured or killed in action. □ Incarceration or □ Incapacitation of parent/guardian.

□ Home fire not due to natural causes (e.g. stove fire) □ Economic hardship (inability to pay rent or mortgage, resulting in eviction) □ Lack of affordable housing in the area □ Minor student unable to afford housing on their own

IV. Please select all requested services School Supplies □ Yes or □ No School Clothing □ Yes or □ No School Meals □ Yes or □ No Transportation □ Yes or □ No Please note, presenting a false record or falsifying records is an offense under Section 37.10, Penal Code, and enrollment of the child under false documents subjects the person to liability for tuition or other costs. TEC Sec. 25.002(3)(d). Signature of Parent/Guardian/Caregiver/Unaccompanied Youth: _______________________________ Date: _____________ Signature of McKinney –Vento Liaison: ____________________________________ Date: __________