Form - McKinney Vento Homeless Assistance Act Referral Form

McKinney Vento Homeless Assistance Act Referral Form

Are you experiencing:  

  • Unsafe or unhealthy housing due to fire, flood, mold or utility shut off?
  • Unsafe or unhealthy housing due to domestic violence?
  • Lack of housing due to eviction, red tag, or other situation?
  • Lack of housing due to being kicked out?
  • Lack of your own housing (staying with another person or family in their home)?
  • Or residing in a car/vehicle, shelter, or tent?

*Information is confidential. The McKinney Vento Homeless Assitance Act follows federal FERPA privacy rules and regulations.

Are you a student, parent, or care giver for a student?   (required)
What is a good way to contact you?   (required)
Are you or your children currently receiving supports from the Homeless Assistance Program?   (required)
Where did you spend last night?   (required)
Security Check - To verify you are not a robot, please answer this question:
 


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Ingham Intermediate School District is committed to ensuring digital accessibility for all users, including individuals with disabilities. We are continually improving the user experience for everyone and applying relevant accessibility standards.

If you experience difficulty accessing any content on this website or need materials in an alternative format, please contact us so we can provide the information in an accessible format.

ADA/Accessibility Contact

Ingham ISD Communications

517.244.1212

Non Discrimination

It is the policy of Ingham Intermediate School District not to discriminate on the basis of race, color, national origin, gender/sex, age, disability, height, weight, marital status or lack of English language skills.

The following person has been designated to handle inquiries regarding the nondiscrimination policies:

Assistant Superintendent, Human Resources and Organizational Development
2630 West Howell Road, Mason, MI 48854. 517.244.1289.