Survey

Survey For Homeless Children and Youth
LEA's WITH McKinney-Vento Sub-grants

Please provide the following information requested pursuant to Title VII, Subtitle B,
Section 722 (d) of the McKinney-Vento Homeless Education Assistance Act of 2001.

District:
Homeless Liaison:
Email:
Phone:

Part 1 - Data on all Enrolled Homeless Children

Please provide the number of homeless children and youth in your district enrolled in public school during the current school year according to grade level groups below.

Grade Level	Number of homeless children/youth enrolled
Age 3 through 5 (not Kindergarten)
K
1
2
3
4
5
6
7
8
9
10
11
12
Ungraded (e.g. primary groupings, groupings with learning disabilities, etc. Not students temporarily or more permanently residing as incarcerated in a facility.)

PART 2 - PRIMARY NIGHT TIME RESIDENCE OF HOMELESS CHILDREN AND YOUTH

Please provide the total number of homeless children and youth who had the following as their primary nighttime residence at the time of initial identification by your district. The totals should match totals above.

Primary Night Time Residence	Number of homeless children/youth -excluding preschoolers in LEAs with subgrants
Shelters
Doubled-up ¹⁾
Unsheltered ²⁾ (e.g., cars, parks, campgrounds, etc.)
Hotels/Motels

The "Other" category has been removed. Examples of residences that have previously been categorized as "Other" and the category into which they may fit are:

Children and youth living in abandoned buildings, campgrounds and vehicles, and the like may be categorized as Unsheltered.
Children and youth (including unaccompanied or runaway youth) who live with relatives or friends due to being homeless may be categorized as Doubled-Up.
" Substandard or inadequate housing does not easily fit into any category as it is not governed by a specific definition and is judged on a case-by-case basis. A rule of thumb would be to see the dwelling as comparable to an automobile (no water, heat or electricity) in that it shelters but is not adequate housing. Following this rule, children who live in this type of situation may be classified as Unsheltered.

Data on Homeless Children Served

There may or may not be a difference between enrolled or served in your district. Lewiston is the only district guaranteed to have different numbers. The entirety of their subgrant goes to another agency, thus only the children in the special program are served by the subgrant. If grant funds in any way have been used to benefit a homeless child, then that child has been served.

Grade levels of homeless children served by subgrants	Number of homeless children/youth served by subgrants enrolled
Age 3 through 5 (not Kindergarten)
K
1
2
3
4
5
6
7
8
9
10
11
12
Ungraded

Number of homeless unaccompanied youth served
Number of homeless migrant children/youth served

Migrant students must have a "Certificate of Eligibility" (COE) on file in order to be considered "migrant"
for educational purposes. Local liaisons should coordinate with the district's migrant education
staff to identify migrant students eligible for homeless services through McKinney-Vento.

NUMBER OF CHILDREN RECEIVING EDUCATIONAL AND SCHOOL SUPPORT SERVICES

Indicate only the number of students who have been identified as eligible and are actually receiving services in these categories.

Educational and school related activities and services	Number of homeless students that received educational and support services
1) Special Education (IDEA)
2) English Language Learners (ELL)
3) Gifted and Talented
4) Vocational Education

Check any of the following educational support services provided to homeless children in your district with McKinney-Vento funds.

Services and Activities Provided by the McKinney-Vento Sub-grant Program	Check if Provided
1) Tutoring or other instructional support
2) Expedited evaluations
3) Staff professional development and awareness
4) Referrals for medical, dental, and other health services
5) Transportation
6) Early childhood programs
7) Assistance with participation in school programs
8) Before-, after-school, mentoring, summer programs
9) Obtaining or transferring records necessary for enrollment
10) Parent education related to rights and resources for children
11) Coordination between schools and agencies
12) Counseling
13) Addressing needs related to domestic violence
14) Clothing to meet a school requirement
15) School supplies
16) Referral to other programs and services
17) Emergency assistance related to school attendance
18) Other (optional)

BARRIERS TO THE EDUCATION OF HOMELESS CHILDREN AND YOUTH

Check the following barriers to the enrollment and success of homeless child during the current school year experienced in your district.

Barriers	Does it exist in your district?
Eligibility for homeless services
School selection
Transportation
School records
Immunizations
Other medical records
Other barriers

ACADEMIC PROGRESS OF HOMELESS STUDENTS

In order to ensure that homeless children and youth have access to education and other services needed to meet the State's challenging academic standards:

a) Check the grade levels in which your district administers a statewide assessment in reading or mathematics;
b) Note the number of homeless children and youth that were included in statewide assessments in reading or mathematics; and
c) note the number of homeless children and youth that met or exceeded the State's proficiency level or standard on the reading or mathematics assessment.

Data should be broken down by grade level (3-12). Check all grades in which testing was administered. Indicate NA if grade is not assessed by your district. District assessments in grades 3-8 and one year of high school are NCLB requirements; however, districts may assess students in other grades as well. If assessment is required and data is not available for reporting, indicate DNA (data not available). Do not leave blank or indicate zero data if this is the case. Some LEAs measure partial proficiency. This data should be aggregated with full proficiency data reported. Provide data only for identified homeless children and youth.

READING

School Grade Levels	a) Reading assessment by grade level (check boxes where appropriate. Indicate "NA" for grade not assessed by state	b) Number of homeless children/youth taking reading assessment test. (If assessment is required and data is not available for reporting, indicate as "DNA")	c) Number of homeless children/youth that met or exceeded state proficiency. (If assessment is required and data is not available for reporting, indicate as ("DNA")
Grade 3	Yes NA	DNA	DNA
Grade 4	Yes NA	DNA	DNA
Grade 5	Yes NA	DNA	DNA
Grade 6	Yes NA	DNA	DNA
Grade 7	Yes NA	DNA	DNA
Grade 8	Yes NA	DNA	DNA
Grade 9	Yes NA	DNA	DNA
Grade 10	Yes NA	DNA	DNA
Grade 11	Yes NA	DNA	DNA
Grade 12	Yes NA	DNA	DNA

MATHEMATICS

School Grade Levels	a) Mathematics assessment by grade level (check boxes where appropriate. Indicate "NA" for grade not assessed by state	b) Number of homeless children/youth taking mathematics assessment test. (If assessment is required and data is not available for reporting, indicate as "DNA")	c) Number of homeless children/youth that met or exceeded state proficiency. (If assessment is required and data is not available for reporting, indicate as (DNA")
Grade 3	Yes NA	DNA	DNA
Grade 4	Yes NA	DNA	DNA
Grade 5	Yes NA	DNA	DNA
Grade 6	Yes NA	DNA	DNA
Grade 7	Yes NA	DNA	DNA
Grade 8	Yes NA	DNA	DNA
Grade 9	Yes NA	DNA	DNA
Grade 10	Yes NA	DNA	DNA
Grade 11	Yes NA	DNA	DNA
Grade 12	Yes NA	DNA	DNA

I hereby certify that by approving this document it is meant that the information
provided is complete and accurate, and that supporting documents are available for inspection.