New York State Migrant Education Program Form

New York State Migrant Education Program

Education & Recruitment Office Parent Survey
The Migrant Education Program (MEP) is authorized by Title I, Part C of the Every Student Succeeds Act (ESSA). The MEP provides a variety of educational services to families who work in agriculture, regardless of their nationality or legal status. This program is Free of charge to all eligible families and may include tutoring, free lunch eligibility, educational field trips, summer programs, parent involvement activities, emergency needs and referrals to other services as needed.

Please take a few minutes to complete this questionnaire.

Have you or has someone in your family worked on a farm?

Have you moved during the past 3 years?
Check all that apply:

Any agricultural, farm, or fishing work (such as hay, dairy, fruit or vegetable crops, poultry, fishing, nursery/greenhouse, etc.)Work related to logging, harvesting, or initial processing of trees.Work at food processing plant, (such as meat or poultry processing plants, packing fruits or vegetables, etc.)
Parent/Guardian Name

First NameLast Name
Home Address

Home address

Street Address Line 2

CityTownState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Best time to be reached

Hour Minutes

AM/PM Option
Previous Address

Home address

Street Address Line 2

CityTownState / Province

Postal / Zip Code
Student Name

First NameLast Name
Age
Grade
Do you have another student?

YesNo
Student Name

First NameLast Name
Age
Grade
Should be Empty: