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Kindergarten Registration

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McKinney Vento Student Referral Form

This Student Referral Form must be filled out for each student being referred.

THE EDUCATION PROJECT: Support and Advocacy for Livingston County Students who are homeless or in transition.
STUDENT REFERRAL FORM
Referral Contact & Agency: Kristin Rosalez
Referral Phone Number: 517-223-6014
Special Education/IEP/504   (required)
Student is Participating in   (required)
Is the student living with a parent/guardian?   (required)
Is the parent/guardian a veteran?   (required)
Services Needed
Clothing
Transportation Needed
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