Charlotte-Mecklenburg Schools: McKinney-Vento Intake Affidavit
This form is used by Charlotte-Mecklenburg Schools
to enroll students eligible for McKinney-Vento rights and services. The form details the nighttime living arrangement of the student, documents the student’s educational background, requests information about current student needs, and provides a checklist for staff to ensure that all necessary steps have been taken to meet the student’s needs and to perform administrative responsibilities related to enrollment.
Download the McKinney-Vento Intake Affidavit
Cobb County School District (Atlanta, GA): Administrative Forms
See Section J: Homeless Students
of Cobb County School District’s Board Policies and Administrative Rules for a variety of forms related to enrolling and educating children and youth experiencing homelessness, including:
- Information on the McKinney-Vento Homeless Assistance Act
- Procedure for Free Lunch
- Procedure For Transportation to School of Origin
- School of Origin Request
- Student Residency Statement
- Written Notification Form
Forms are available in multiple languages, including English, Arabic, Portuguese, and Spanish.
Visit the Cobb County School District (Atlanta, GA): Administrative Forms webpage.
District School Board of Pasco County: Student/Family Domicile Questionnaire
This one-page questionnaire is used by the District School Board of Pasco County to determine eligibility for services under Title I, Part A, Title I, Part C-Migrant, or Title X, Part C-McKinney-Vento. Other districts may use this form as a guide for developing their own domicile questionnaires.
Download the questionnaire
New York: McKinney-Vento Guidance Regarding Shared Housing Affidavit (NYS Field Memo: McKinney-Vento #06-2009)
This memorandum from the New York State Education Department
provides clarification regarding the use of shared housing and proof of residency affidavits for students seeking enrollment under the McKinney-Vento Act. Among other issues, the memorandum affirms that the use of such affidavits may constitute an educational barrier for students experiencing homelessness; as such, these affidavits may not be required as proof of residency for enrollment or continued enrollment. The memorandum also recommends that school districts throughout the state include a residency questionnaire/enrollment form
as the first page of their registration packet to ensure that homeless students are identified at the earliest point in the registration process and will not be required to complete or submit other forms or affidavits as a condition for enrollment or continued enrollment.
Download the McKinney-Vento Guidance Regarding Shared Housing Affidavit