PI-Q06-01,Mckinney-Vento Checklist

Wisconsin Department of Public Instruction INSTRUCTIONS: Complete and submit by November 11, 2011, to: MCKINNEY-VENTO CHECKLIST WISCONSIN DEPARTMENT OF PUBLIC INSTRUCTION EDUCATION FOR HOMELESS CHILDREN AND YOUTH PROGRAM PI-Q06-01 (Rev. 09-11) ATTN: SHARON SUCHLA P.O. BOX 7841 MADISON, WI 53707-7841 Collection is a requirement of the No Child Left Behind Act, Public Law 107-110. School District Mailing Address Street, City, State, ZIP

Legislative Compliance Yes No

1. Has your district designated a homeless liaison?

2. Has your district’s homeless liaison informed staff about the educational rights of homeless children and youth? 3. Has your district established a procedure for staff to refer homeless families, children, and youth to the homeless liaison? 4. Has your district disseminated public notice of the educational rights of students who are homeless to community agencies that provide services to homeless populations? 5. Has your district established a procedure for community agencies to refer homeless families, children, and youth to the homeless liaison? 6. Has your district developed policies and procedures to ensure that homeless children and youth are not stigmatized or segregated (with the exception of tutorial, before-, and after-school programs)? 7. Has your district reviewed policies and procedures to ensure no barriers exist for the full educational participation of homeless children and youth? 8. Are homeless families/youth given their McKinney-Vento educational rights, including information about transportation to the school of origin? 9. Does your district ensure that homeless preschool children are enrolled in preschool programs administered by the district? 10. Does your district provide transportation to preschool children who have become homeless while enrolled in a district-administered preschool program? 11. If your district does not administer a preschool program, does your homeless liaison refer homeless preschool children to community programs? 12. Does your district have procedures that ensure homeless students are able to participate in school nutrition programs? 13. Are homeless students given free school supplies and course fee waivers if parents/guardians/youth can’t afford to pay for these items? 14. Has your district reviewed policies and procedures to ensure the prompt resolution of disputes? 15. Are homeless families/youth given a list of community agencies that can assist with basic needs, housing, health, mental health, and other appropriate services? 16. Does your district have a process for timely transfer of records for homeless students?

Best Practices

17. Does your district have a homeless “contact person” in each building? 18. Does your district have release of information agreements with community agencies (Head Start, Department of Health and Family Services, Boys & Girls Clubs, etc.) for sharing student information?* 19. Has your district developed a school selection form?*

20. Are homeless educational rights posters placed in each school building?

21. Are homeless educational rights posters given to community agencies to post? 22. Does your district designate where “homeless status” will be entered or maintained on records, including transferred records for purposes of confidentiality? 23. Does your district have a residency requirement, other than district boundaries?* 24. If yes to the previous question, has this residency requirement been reviewed for compliance with the McKinney- Vento Act? 25. Is your homeless liaison listed on your district’s website (homepage)?*

Name of District Homeless Liaison Type or Print Clearly Signature of District Homeless Liaison Date Signed Mo./Day/Yr. 

*Sample forms can be found under “Forms” at http://dpi.wi.gov/homeless