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* 1. Name

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* 2. County?
(Please check all the counties that you service.)

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* 3. Please state what quarter you are reporting:

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* 4. Number of CoC meetings you attended this quarter?

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* 5. How many school or community events did you attend this quarter?

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* 6. How many educational assessments did you complete this quarter?

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* 7. How many homeless students did you serve or have contact with this quarter?
(Count a student only once, the specific number of contacts and activities can be described in your
activity log.)

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* 8. How many unaccompanied youth did you serve or have contact with this quarter?
(Count a student only once, the specific number of contacts and activities can be described in your
activity log.)

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* 9. How many parents did you serve or have contact with this quarter?
(Count a parent/family only once, the specific number of contacts and activities can be described in your activity log.)

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* 10. How many contacts did you have with district homeless liaisons (face to face, e-mails, phone calls, meetings, etc )?

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* 11. How many homeless students did you assist with completing their GED?

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* 12. Any additional comments, questions or notes?

In addition to entering the progress report data online, continue to send a log of your activities that state dates, types of contacts and a short description of the activity or task to kmpeterson@maresa.org. Thank you for your documentation and service to students and families experiencing homelessness!

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