First Name Middle Name Last Name HispanicYes/No

Race(See Code

below)

DOB GenderM/F

GradePK/OS(See Code

below)

Residency Type

DPI Homeless Data Collection on all Pre-Kinder (PK) and Out-of-School (OS) Students

As a federal requirement, LEAs must report data on all homeless children in a homeless family, not just those attending a program in a public school. These children could range from 0 to 21 years of age.

Race code:AMIN= American Indian/Alaskan Native ASIA=Asian BLCK=Black/African American NSPI=Native Hawaiian/Other Pacific Islander WHTE= White

Grade Code: PK= Pre-Kinder (0-5 years) OS= Our of School (6-21 years)