First Name

Middle Name

Last Name

Hispanic
Yes/No

Race
(See Code
below)

DOB

Gender
M/F

Grade Residency
PK/OS
Type
(See Code
below)

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)