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PWCS McKinney-Vento Eligibility Form - 2024-25 School Year

Welcome to the PWCS MKV Eligibility Form 2024-25 School Year

The PWCS McKinney-Vento (MKV) program provides the following educational rights and benefits to students who meet the homeless definition. The overall goal of McKinney-Vento is to remove enrollment barriers and offer school stability during a time of housing instability.


Students who qualify for MKV will receive ...

  • Immediate school enrollment/attendance with enrollment barriers being removed ...
    • No residency proof will be required for purposes of school enrollment
      • However, in some situations, the PWCS MKV Liaison has the option to request information/documentation regarding the student's housing situation as needed.
    • Student can enroll/attend without producing birth certificate, physical and/or immunization record at time of immediate enrollment.
      • Birth certificate will need to be provided to the school office within 90 days of enrollment per PWCS regulation. Schools may request that a Birth Certificate Affidavit be completed at time of immediate enrollment which is permissible. Schools cannot require that the affidavit be notarized as that can be viewed as a barrier.
      • Immunizations/physical must be produced to the school office within 60 days of enrollment per PWCS regulation.
  • Automatic approval for free school meals for the school year
  • Participation in school activities  
    • (The MKV program is not required to provide afterschool transportation services.)
  • Option of remaining in same school (if determined to be in the student's best interest) even if the student/family move outside of school boundaries and/or into permanent housing during the school year in which the student qualifies for MKV
  • School transportation (when determined to be feasible by MKV Liaison) for students to remain in the same school (school of origin) while residing outside of school boundaries (during the school year in which the student qualifies for MKV)

The information that you provide on this MKV Eligibility Form helps the PWCS McKinney-Vento (MKV) Liaison to gather the details of the student's housing/family story in order to determine if the situation meets the MKV definition for homelessness.  Additional information may be requested. Each student is assessed case-by-case. If a student is approved for the MKV program, the status is valid only for the school year in which the student qualifies.  The MKV status is confidential. If you encounter any challenges with completing/submitting this form, email the MKV Liaison, Tami Eppolite at EppoliTF@pwcs.edu.  
 

The MKV status is valid only for the school year in which the student is approved … it does not automatically roll over to the next school year.  If you feel that the student’s situation might qualify for MKV next school year, please submit a new MKV Eligibility Form over the summer.  We start accepting new Eligibility Forms on July 15th every summer.  It is best to submit the form in mid/late July or very early August to avoid the late rush which can slow down the processing time.  You can access the application from the link on our PWCS MKV Webpage which can be found at Homelessness - Prince William County Public Schools (pwcs.edu). It is a case-by-case decision each school year.


NOTE: We are experiencing an extremely high number of McKinney-Vento (MKV) Eligibility Forms and MKV Transportation Forms being submitted this week and we are processing them in the order in which they are received. Once a student is approved for MKV status, then at that time we are able to begin processing transportation requests. If we are able to setup transportation, it generally takes the team 3-5 work days to develop a plan and start services; however, due to the increase in requests, it might take longer.  


Please complete the following questions for the student(s) to be considered for the PWCS McKinney-Vento Program for 2024-25 ...
This question requires a valid date format of MM/DD/YYYY.
calendar MM/DD/YYYY
STUDENT 1
This question requires a valid date format of MM/DD/YYYY.
calendar MM/DD/YYYY
Is the student NEW to PWCS or RE-ENROLLING in PWCS (after being withdrawn and attending a different school district) for the 2024-25 school year? *This question is required.
Where and when was this student last enrolled in school? *This question is required.

Since this student is new to PWCS or is a returning student to PWCS (after being withdrawn and attending a different school district), the student needs to enroll in the school that is zoned for the address where the student is residing. You can use our PWCS Find My School (PWCS Find My School (based on address) to determine the local/zoned school.
 
What is your school preference for this student for 2024-25?  MKV gives only two school options (choose one): *This question is required.
NOTE: School placement will be made according to the student's best interest which is determined by the MKV Liaison. If a student is involved with the Hearings Office and/or has an IEP (special education needs), those programs determine school placement which MKV does not override.  
unknown? enter 0
Are there school-aged siblings who are also in the same housing situation? *This question is required.
STUDENT 2 *This question is required.
This question requires a valid date format of MM/DD/YYYY.
calendar MM/DD/YYYY
Is the student NEW to PWCS or RE-ENROLLING in PWCS (after being withdrawn and attending a different school district) for the 2024-25 school year? *This question is required.
Where and when was this student last enrolled in school? *This question is required.

Since this student is new to PWCS or is a returning student to PWCS (after being withdrawn and attending a different school district), the student needs to enroll in the school that is zoned for the address where the student is residing. You can use our PWCS Find My School (PWCS Find My School (based on address) to determine the local/zoned school.
 
What is your school preference for this student for 2024-25?  MKV gives only two school options (choose one): *This question is required.
NOTE: School placement will be made according to the student's best interest which is determined by the MKV Liaison. If a student is involved with the Hearings Office and/or has an IEP (special education needs), those programs determine school placement which MKV does not override.  
unknown? enter 0
Are there school-aged siblings who are also in the same housing situation? *This question is required.
STUDENT 3 *This question is required.
This question requires a valid date format of MM/DD/YYYY.
calendar MM/DD/YYYY
Is the student NEW to PWCS or RE-ENROLLING in PWCS (after being withdrawn and attending a different school district) for the 2024-25 school year? *This question is required.
Where and when was this student last enrolled in school? *This question is required.

Since this student is new to PWCS or is a returning student to PWCS (after being withdrawn and attending a different school district), the student needs to enroll in the school that is zoned for the address where the student is residing. You can use our PWCS Find My School (PWCS Find My School (based on address) to determine the local/zoned school.
 
What is your school preference for this student for 2024-25?  MKV gives only two school options (choose one): *This question is required.
NOTE: School placement will be made according to the student's best interest which is determined by the MKV Liaison. If a student is involved with the Hearings Office and/or has an IEP (special education needs), those programs determine school placement which MKV does not override.  
unknown? enter 0
Are there school-aged siblings who are also in the same housing situation? *This question is required.
STUDENT 4 *This question is required.
This question requires a valid date format of MM/DD/YYYY.
calendar MM/DD/YYYY
Is the student NEW to PWCS or RE-ENROLLING in PWCS (after being withdrawn and attending a different school district) for the 2024-25 school year? *This question is required.
Where and when was this student last enrolled in school? *This question is required.

Since this student is new to PWCS or is a returning student to PWCS (after being withdrawn and attending a different school district), the student needs to enroll in the school that is zoned for the address where the student is residing. You can use our PWCS Find My School (PWCS Find My School (based on address) to determine the local/zoned school.
 
What is your school preference for this student for 2024-25?  MKV gives only two school options (choose one): *This question is required.
NOTE: School placement will be made according to the student's best interest which is determined by the MKV Liaison. If a student is involved with the Hearings Office and/or has an IEP (special education needs), those programs determine school placement which MKV does not override.  
unknown? enter 0
Are there school-aged siblings who are also in the same housing situation? *This question is required.
STUDENT 5 *This question is required.
This question requires a valid date format of MM/DD/YYYY.
calendar MM/DD/YYYY
Is the student NEW to PWCS or RE-ENROLLING in PWCS (after being withdrawn and attending a different school district) for the 2024-25 school year? *This question is required.
Where and when was this student last enrolled in school? *This question is required.

Since this student is new to PWCS or is a returning student to PWCS (after being withdrawn and attending a different school district), the student needs to enroll in the school that is zoned for the address where the student is residing. You can use our PWCS Find My School (PWCS Find My School (based on address) to determine the local/zoned school.
 
What is your school preference for this student for 2024-25?  MKV gives only two school options (choose one): *This question is required.
NOTE: School placement will be made according to the student's best interest which is determined by the MKV Liaison. If a student is involved with the Hearings Office and/or has an IEP (special education needs), those programs determine school placement which MKV does not override.  
unknown? enter 0
Are there school-aged siblings who are also in the same housing situation? *This question is required.
STUDENT 6 *This question is required.
This question requires a valid date format of MM/DD/YYYY.
calendar MM/DD/YYYY
Is the student NEW to PWCS or RE-ENROLLING in PWCS (after being withdrawn and attending a different school district) for the 2024-25 school year? *This question is required.
Where and when was this student last enrolled in school? *This question is required.

Since this student is new to PWCS or is a returning student to PWCS (after being withdrawn and attending a different school district), the student needs to enroll in the school that is zoned for the address where the student is residing. You can use our PWCS Find My School (PWCS Find My School (based on address) to determine the local/zoned school.
 
What is your school preference for this student for 2024-25?  MKV gives only two school options (choose one): *This question is required.
NOTE: School placement will be made according to the student's best interest which is determined by the MKV Liaison. If a student is involved with the Hearings Office and/or has an IEP (special education needs), those programs determine school placement which MKV does not override.  
unknown? enter 0
Are there school-aged siblings who are also in the same housing situation? *This question is required.
STUDENT 7 *This question is required.
This question requires a valid date format of MM/DD/YYYY.
calendar MM/DD/YYYY
Is the student NEW to PWCS or RE-ENROLLING in PWCS (after being withdrawn and attending a different school district) for the 2024-25 school year? *This question is required.
Where and when was this student last enrolled in school? *This question is required.

Since this student is new to PWCS or is a returning student to PWCS (after being withdrawn and attending a different school district), the student needs to enroll in the school that is zoned for the address where the student is residing. You can use our PWCS Find My School (PWCS Find My School (based on address) to determine the local/zoned school.
 
What is your school preference for this student for 2024-25?  MKV gives only two school options (choose one): *This question is required.
NOTE: School placement will be made according to the student's best interest which is determined by the MKV Liaison. If a student is involved with the Hearings Office and/or has an IEP (special education needs), those programs determine school placement which MKV does not override.  
unknown? enter 0
Are there school-aged siblings who are also in the same housing situation? *This question is required.
STUDENT 8 *This question is required.
This question requires a valid date format of MM/DD/YYYY.
calendar MM/DD/YYYY
Is the student NEW to PWCS or RE-ENROLLING in PWCS (after being withdrawn and attending a different school district) for the 2024-25 school year? *This question is required.
Where and when was this student last enrolled in school? *This question is required.

Since this student is new to PWCS or is a returning student to PWCS (after being withdrawn and attending a different school district), the student needs to enroll in the school that is zoned for the address where the student is residing. You can use our PWCS Find My School (PWCS Find My School (based on address) to determine the local/zoned school.
 
What is your school preference for this student for 2024-25?  MKV gives only two school options (choose one): *This question is required.
NOTE: School placement will be made according to the student's best interest which is determined by the MKV Liaison. If a student is involved with the Hearings Office and/or has an IEP (special education needs), those programs determine school placement which MKV does not override.  
unknown? enter 0
Are there school-aged siblings who are also in the same housing situation? *This question is required.
If there are younger siblings (NON school aged) in the family in the same housing situation, please list their names and ages:
CONTACT INFORMATION *This question is required.
Which of the following best describes the relationship to the student(s): *This question is required.
What is the preferred language for communication for the parent/custodian/caregiver/HUY Student? *This question is required.
NOTE: This is the preferred method of communication with the MKV Staff and Transportation Team. If you do not have an email address, please use an alternative email such as the student's PWCS email or a friend or family member's email address. This question requires a valid email address.
Phone Numbers of Person Listed Above (Parent/Custodian/Caregiver/HUY Student) *This question is required.
If a cell phone was provided ... *This question is required.(check all that apply)
(include room/suite/unit number if applicable)
This question requires a valid number format.
If you have a housing or agency case manager, supply their contact information below:
Who completed this form?
(If you are completing the form on behalf of someone, please be sure that they are aware.)
*This question is required.
Does the student's housing/family situation possibly qualify as a MKV Homeless Unaccompanied Youth (HUY)? *
 
A MKV HUY student meets the MKV definition for homeless and the STUDENT is NOT residing with his/her parent or court appointed legal custodian due to reasons of hardship
  *This question is required.
A MKV HUY student might be doubling up with friends/family, staying in a hotel/motel/shelter, couch surfing or possibly unsheltered.  A MKV HUY student might have chosen to leave their parents/custodian's home due to hardship or could have been asked to leave their parents/custodian's home due to reasons of hardship. Some MKV HUY students might not have the option to reside with their parent/custodian for a variety of reasons/hardships.  A HUY student's age can range from early childhood (preschool/headstart) through the age of 21 years old (12th grade).
Are the MKV HUY student's parent or court appointed legal custodian aware of the whereabouts of the student? *This question is required.
Choose one of the options below which best describes the student's current temporary housing situation? *This question is required.Students in shelter, transitional housing and unsheltered automatically qualify for McKinney-Vento.
Copy of Hotel/Motel Receipt can be Uploaded Here
What were the contributing factors to the student/family's previous loss of housing which resulted in the current temporary housing situation?  (Note: There must be a hardship which resulted in the unexpected loss of housing.) *This question is required.
  • * This question is required.
McKinney-Vento assesses whether the student's current temporary housing situation is fixed and regular and adequate ... answer the questions below to help the MKV Liaison assess those aspects *This question is required.
FIXED = permanent, not subject to change​; 
REGULAR- = used on a regular basis​; 
ADEQUATE = sufficient
Space Cell YesNoUnsure
Is there a possibility that the student/family could be asked to leave at anytime?
Is the student/family searching for another place to live?
Does the student/family go home to the same housing situation every night?
Is the student/family guaranteed to stay at the same place every night?
Are the conditions of the current housing situation over-crowded?
Does the student/family feel safe in the current housing situation?
Are the conditions of the current housing situation in good condition?
Does the student/family have access to the kitchen and bathroom at any time?
Is there heat, electricity and water available in the current housing situation at all times?
Where is/are the student(s) sleeping at night in the current housing situation? *This question is required.(check all that apply for the students in the situation)
  • * This question is required.
If the student/family are temporarily doubled-up due to hardship, who is the host home provider?
OPTIONAL - We never want to jeopardize the host home provider's situation so please do not give out information that could put their housing at risk.
Check all of the services below that the student needs (if none, check the last box) ...  *This question is required.Either our MKV social worker or the school-based social worker will be in touch with the student/family via email.
  • * This question is required.
Will you be requesting school transportation services for any of the students listed on this form?
After you submit this form, the "thank you" page will appear and it will provide you with the link to the 2024-25 McKinney-Vento Transportation Form.  Be sure to complete and submit that form if the situation meets one of the reasons listed above as to why MKV would set up special transportation services.
IMPORTANT INFORMATION REGARDING MCKINNEY-VENTO ...

Determination of homelessness (as defined by McKinney-Vento) is based on the consideration of the permanence and adequacy of the living situation, and is always individually reviewed on a case-by-case basis by the McKinney-Vento Liaison. 

 
Any person making a materially false statement regarding residency in a school division may be guilty of a Class 4 Misdemeanor and may be liable to the school division in which the student was enrolled as a result of such false statements for tuition charges, pursuant to the Virginia Code §22.1-5, for the time the student was enrolled in such school division.
 
The student's McKinney-Vento status is valid only for the school year in which the student is approved. A student/family must re-apply or contact the McKinney-Vento Office to be re-assessed for the next school year's MKV program if the student's housing situation appears to be temporary due to hardship.

MKV approved students have the rights to the following ...
 
  • Students do not need a permanent address or residency proof to enroll in school.
  • Students cannot be denied school enrollment when school records or other enrollment documentation are not immediately available.
  • Students may be able to remain in the same school (school of origin) even if the student moves outside of school boundary or into permanent housing during the school year.
  • If the MKV Liaison determines it to be in the student's best interest, he/she has the right to transportation services (if deemed feasible) to and from the school of origin.
  • Students automatically qualify to participate in free meal programs while in school.
  • Students have the right to participate in extracurricular activities and all federal, state, or local programs for which he/she is eligible.
MCKINNEY-VENTO HOMELESS EDUCATION SERVICES AGREEMENT ...
 
  • I (person completing this form) certify that all of the information provided on this eligibility application is accurate to the best of my knowledge.
  • The parent/custodian/caregiver/HUY student are aware that approved student(s) will receive MKV services/transportation through the remainder of the given school year even if the student/family obtain permanent housing.
  • The parent/custodian/caregiver/HUY student understand that it is the parent/custodian/caregiver/HUY student responsibility to update the school office with any changes in address or contact information.  The parent/custodian/caregiver/HUY student will provide the school with a good mailing address which might not be the address where the student/family is residing due to reasons of confidentiality or risking others housing situation.
  • The parent/custodian/caregiver/HUY student understand that the student(s) has the right to participate in extracurricular school activities which includes sports; however, the McKinney-Vento Act does not explicitly require that transportation be provided to/from extracurricular activities.
  • The parent/custodian/caregiver/HUY student understand that if the student(s) does not maintain regular/on-time attendance, good academic performance and/or exhibit good behavior in school on a regular basis, a best interest determination meeting may be held to discuss transferring to the school that is zoned for the student's residence.  I also understand that I would have the right to appeal a decision and the MKV Liaison will supply me with that information if requested.  
  • The parent/custodian/caregiver/HUY student understand that a false claim of homelessness or false residency information may result in the withdrawal of my student from school.
RESPONSE TO THIS FORM WILL BE SENT VIA EMAIL
(please watch your email inbox along with your email spam/junk boxes)


Signature of Person Completing this Form (which can be parent//custodian/caregiver/HUY student OR school staff or housing/agency staff on behalf of the family): *This question is required.
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CLICK ON THE SUBMIT BUTTON ONCE THE FORM IS COMPLETE