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McKinney-Vento Homeless Assistance Act

A stylized illustration of hands holding children is overlaid on a document providing information about the McKinney-Vento Act for parents, with contact details at the bottom.

Negaunee Public Schools McKinney-Vento Liaison

Mary LeMoine

504 Coordinator, McKinney Vento Liaison

Referral Form

Required

McKinney-Vento Homelessness Referral Form

Complete this form to make a referral for an NPS student or family who is experiencing homelessness, or is at risk of becoming homeless. The information provided on this form will be used by a McKinney-Vento Liaison for final determination. You may be contacted for more information. 
 
Please contact Mary LeMoine, NPS McKinney-Vento Liaison, at 906-475-7861 x317 with any questions. 
Name of person making referralrequired
First Name
Last Name
Please provide your contact information in case we have follow-up questions or need more information.
Please list the names (First Last) and grade level of who is being referred to the McKinney-Vento Liaison.
Are there any children aged 0-5 years with this family?required
Is the family aware that this referral is being made?required
Please indicate any barriers to the student(s) attending school or basic needs that the family has that you are aware of (choose all that apply):Please select up to 9 choices
Please select up to 9 choices