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Get LA Student Residency Questionnaire Form 2010

_________________________ Print Parent/Guardian Name/Adult Caring for Student Signature Date __________________________________________________________________________________________________________________ (Area Code) Phone number Street Address City State Zip School Use Only  Free or Reduced Price Meals Form submitted/signed  Copy Placed in Student’s Cumulative Record Homeless Liaison Use Only- Check All That Apply  Sheltered  Doubled-Up  Unsheltered/FEMA .

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