Verification Of Student Admission Information (For Student Residing With Parent Or Guardian)/proof Of Residency Form Page 8

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MILITARY CONNECTED STUDENT FORM
In 2009 the Texas Legislature adopted the Interstate Compact on Educational
Opportunities for Military Students. The purpose of the compact is to remove barriers to
educational success imposed on children of military families because of frequent moves
and deployment of parents. Beginning with the 2013-2014 school year, the Texas
Legislature is requiring all districts to report the enrollment of military connected
students (House Bill 525).
Student Name: __________________ _________________ Student ID: _________
Last
First
Student Campus:_____________________________
Grade:______________
Parent Name (printed): _______________________
_________________________
Last
First
Parent Signature:_______________________________________________________
Please indicate which of the following is applicable to your student:
_____ My student is not a dependent of a member of the United Sates military service in the
Army, Navy, Air Force, Marine Corps, or Coast Guard on active duty, the Texas National Guard,
or a reserve force of the United States Military.
_____ My student is a dependent of a member of the Army, Navy, Air Force, Marine Corps, or
Coast Guard on Active Duty.
_____ My student is a dependent of a member of the Texas National Guard (Army, Air
Guard, or State Guard)
_____ My student is a dependent of a member of a reserve force in the United States
military (Army, Navy, Air Force, Marine Corps, or Coast Guard)
______My Pre-kindergarten student is a dependent of: 1) an active duty uniformed
member of the Army, Navy, Air Force, Marine Corps, or Coast Guard, 2)
activated/mobilized uniformed member of the Texas National Guard (Army, Air Guard,
or State Guard), or 3) activated/mobilized members of the Reserve components of the
Army, Navy, Marine Corps, Air Force, or Coast Guard; who are currently on active duty
or who were injured or killed while serving on active duty.
(The term “dependent”, with respect to a member of a uniformed service, means the spouse of the member, an unmarried child of
the member, an unmarried person who is placed in the legal custody of the member and is dependent on the member for over ½ of
the person’s support, resides with the member unless separated by the necessity of military service or to receive care as a result of
disability or incapacitation)
Revised 3/2014

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