Skip survey header
English

PWCS McKinney Vento Eligibility Form 2021-22

Prince William County Public Schools McKinney-Vento Eligibility Form

The PWCS McKinney-Vento (MKV) provides educational benefits for students who are residing in a temporary housing situation due to hardship which meets the homeless definition. The goal of MKV is to offer school stability for the school year, help remove enrollment barriers to provide immediate school enrollment, and offer school transportation (when feasible) for students who remain in their school of origin while residing outside of school boundaries. There is also the benefit of the student automatically being placed on the school’s free meal list for the school year in which they qualify for MKV.  

To learn more about the PWCS MKV program and the definition of homelessness, please consult our website:
 PWCS MKV Program


The information that you provide on this eligibility form helps the PWCS McKinney-Vento (MKV) Liaison/Staff to determine if the situation meets the MKV definition for homelessness.  Additional information may be requested.  If a student is approved for the MKV program, the status is valid only for the school year in which the student qualifies. 

Please complete the following questions ...
List the names of all PWCS students who are enrolled in PWCS or will be enrolling in PWCS.  Students range from Early Childhood through 12th Grade. 
This question requires a valid date format of MM/DD/YYYY.
calendar
If unknown or if student is not enrolled in PWCS yet, enter zero.
This question requires a valid date format of MM/DD/YYYY.
calendar
If unknown or if student is not enrolled in PWCS yet, enter zero.
This question requires a valid date format of MM/DD/YYYY.
calendar
If unknown or if student is not enrolled in PWCS yet, enter zero.
Do you have more students? *This question is required.
Copy of Copy of Please list the names of all immediate family members attending K-12 school in PWCS. DO NOT INCLUDE THE CHILDREN OF THE HOST FAMILY.
This question requires a valid date format of MM/DD/YYYY.
calendar
If unknown or if student is not enrolled in PWCS yet, enter zero.
This question requires a valid date format of MM/DD/YYYY.
calendar
If unknown or if student is not enrolled in PWCS yet, enter zero.
This question requires a valid date format of MM/DD/YYYY.
calendar
If unknown or if student is not enrolled in PWCS yet, enter zero.
Do you have more students
Copy of Copy of Copy of Please list the names of all immediate family members attending K-12 school in PWCS. DO NOT INCLUDE THE CHILDREN OF THE HOST FAMILY.
This question requires a valid date format of MM/DD/YYYY.
calendar
If unknown or if student is not enrolled in PWCS yet, enter zero.
This question requires a valid date format of MM/DD/YYYY.
calendar
If unknown or if student is not enrolled in PWCS yet, enter zero.
This question requires a valid date format of MM/DD/YYYY.
calendar
If unknown or if student is not enrolled in PWCS yet, enter zero.
Do you feel that the student's housing/family situation might qualify as a MKV Homeless Unaccompanied Youth (HUY)?  *This question is required.A MKV HUY student meets the MKV definition for homeless and is unable to reside with parent or legal custodian due to various reasons of hardship. 

An 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 parent or legal custodian's home due to a hardship or could have been asked to leave their parents or legal custodian's home due to reasons of hardship. Sometimes when a family becomes homeless, they have to split up into various other homes/shelters and this could result in a MKV HUY situation also. A HUY student's age can range from early childhood (preschool/headstart) through the age of 21 years old (12th grade).
Contact Information *This question is required.
enter digits only - no dashes
Contact Information
This question requires a valid number format.
This question requires a valid number format.
This question requires a valid email address.
This question requires a valid number format.
This question requires a valid number format.
This question requires a valid email address.