Student Change of Address
It is the policy of Essex North Shore Technical and Agricultural School to require accurate records of registered students proof of residency. This form is to be complete by students legal guardian within 30 days of any residency changes. Should there be a question of residency, the Office of the Superintended reserves the right to conduct an investigation. For immediate questions please contact registrar@essextech.net.
Students Legal Name
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First Name
Last Name
Your students grade
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Grade 9
Grade 10
Grade 11
Grade 12
Previous address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of new address
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Month
-
Day
Year
Date
New address- verification required
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Proof of residency may consist of a copy of a lease agreement, a mortgage statement, or a utility bill dated within the last 30 days. Essex Tech retains the right to request additional documentation to verify residency.
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Are all other residents at previous address changing to new address?
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Yes
No
If no, list whom is moving to new address
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Your Name
*
First Name
Last Name
Your email
example@example.com
Signature. By electronically signing this form, I confirm that I am the legal guardian of the student mentioned, and I affirm that all the information I have provided is accurate.
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Todays Date
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-
Month
-
Day
Year
Date
Note
The McKinney-Vento Homeless Assistance Act ensures educational rights and protections for children and youth experiencing homelessness. Essex North Shore Agricultural & Technical School is committed to ensuring continued enrollment, attendance, and the opportunity to succeed in school for homeless youth. The Massachusetts Department of Elementary and Secondary Education has adopted Section 725(2) of this Act regarding the definition of homeless children and youth to include: Individuals who lack a fixed, regular, and adequate nighttime residence or have a primary nighttime residence in a supervised, publicly or privately, operated shelter for temporary accommodations (including welfare hotels, congregate shelters, and transitional housing for the mentally ill), an institution providing temporary residence for individuals intended to be institutionalized, or a public or private place not designated for, or ordinarily used as, a regular sleeping accommodation for human beings. This definition shall include: children and youth who are sharing the housing of other persons due to loss of housing, economic hardship, or a similar reason; are living in motels, hotels, trailer parks, or camping grounds due to the lack of alternative adequate accommodations; are living in emergency or transitional shelters; are abandoned in hospitals; or are awaiting foster care placement; children and youth who have a primary nighttime residence that is a public or private place not designed for or ordinarily used as a regular sleeping accommodation for human beings; children and youth who are living in cars, parks, public spaces, abandoned buildings, substandard housing, bus or train stations, or similar settings; migratory children (as such term is defined in section 1309 of the Elementary and Secondary Education Act of 1965) who qualify as homeless because they are living in circumstances described above; and unaccompanied youth a youth not in the physical custody of a parent or guardian. For additional information or to identify an Essex North Shore Agricultural & Technical School student eligible for supports and/or intervention consistent with the McKinney-Vento Act contact: Sandra Goldstein, McKinney-Vento Coordinator, at sgoldstein@essextech.net or (978) 304-4700.
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