OMB Control No.: 1810 - 0662 Exp. 11/30/2014

Public Burden Statement : Ac cording to the Paperw ork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. Public reporting burden for this collection of inform ation is estimated to average 1 hour and 10 minutes per response, including time for reviewing instruct ions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The obligation to resp ond to this collection is voluntary, but the information is needed to obtain or retain benef it under Title I, Part C of the Elementary and Secondary Education Act of 1965, as amended . Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Departm ent of Education, 400 Maryland Ave., SW, Washington, DC 20202 - 4536 or email ICDocketMgr@ed.gov and reference the OMB Control Number 1810 - 0662 . Note: Please do not return the completed Certificate of Eligibility (COE) to this address.



### Education of Migratory Children under Title I, Part C of the **Elementary and Secondary Education Act of 1965**



# NATIONAL **CERTIFICATE OF ELIGIBILITY (COE)**

**INSTRUCTIONS**

U.S. Department of Education Office of Elementary and Secondary Education**NATIONAL CERTIFICATE OF ELIGIBLITY**

**COE Instructions Page**  **1** 

## T **he National**  **Certificate of E**  **ligibility Purpose**  The State Education Agency (SEA) is required to document every migrant child’s eligibility for the Migrant Education Program on the nat ional C ertificate of E ligibility (COE) created b y the U.S. Department of Education (ED) . The COE serves as the official record of the State’s eligibility determination for each individual child . **Table of Contents Overview**  **................................ ................................**  **................................ ........................**  **1 General instructions**  **................................ ................................**  **................................ .....**  **2 Completing the Required Data Elements of the COE (part I)**  **................................ ....**  **3** Family Data. ................................ ................................ ................................ ........... 3 Child Data. ................................ ................................ ................................ .............. 4 **Completing the Req uired Data Sections of the COE (part II)**  **................................ ....**  **5** Qualifying Move & W ork Section. ................................ ................................ ........... 5 Comments Section ................................ ................................ ............................... 12 Parent/Guardian/Spouse/W orker Signature Section. ................................ ............ 14 Eligibility Certification Section. ................................ ................................ .............. 15 **Attachments ................................**  **................................ ................................**  **................ 16**  **Overview** The U.S. Department of Education (ED) has created a standard national COE that all states are required to use. The national COE is comprised of three parts : (1) **required data elements** , which States can organize according to State preference and need ; (2) **required data**  **sections ,**  which States can place according to State preference and need , but that must be maintained in whole and unaltered ; and (3) **State required/**  **requested information** , where space is available, that States can use to collect other data. NOTE: States must maintain any additional documentation the SEA requires to confirm that each child found eligible for the program meets all of the eligibility definitions. State**NATIONAL CERTIFICATE OF ELIGIBLITY**

**COE Instructions Page**  **2** responsibilities for documenting the eligibility of migratory

children are found in 34 CFR 200.89(c). Attached are two documents. The first summarizes the re quired data elements and required data sections in a one - page format. The second is a template that demonstrates how the required data elements and required data sections might be arranged o n the COE . Note that th is template does not necessaril y include elements that are required to be collected for other OME or ED data collections. States can either use the template as - is, or they can modify it , within the parameters explained in (1), (2) and (3) above , to collect this or any other State required/requested information. **General instructions**
 A COE must be completed every time a child makes a new qualifying move.
 All attempts should be made to complete all data elements and sections of the C OE. In cases where a response may not be required or does not apply , flexibility has been built into the instructions. Inthese cases, the recruiter must write a dash ( - ) or “N/A” in the appropriate blank. All other information must be provided.
 With the exception of the “Qualifying Move and Work Section, ” if the instructions ask for additional information in the C omment s se ction and the State has required this information as a State data element, the recruiter does not need to provide the infor mation again in the C omment s section. For example, the instructions prompt the recruiter to record the first and last names of the child’s legal parents in the C omment s s ection if different from the current parents. However, if the State includes data el ements for legal parent information, the recruiter would not have to repeat this information in the C omment s section.
 If the recruiter completes a COE for a family , the recruiter must fill out a separate COE for an y child who has a different qualifying arrival date (QAD) or for an y child who has different eligibility criteria than the rest of the children in the famil y, such as an out of school y outh (O SY ) who may have moved on his or her own. In general, the QAD is the date that both the child and worker completed the move for the worker to find qualifying work. There are special cases that are de scribed in the instructions for the section titled “ Qualifying Move and Work Section . ”
 The recruiter must not include an y child who : o (1) was born after the qualifying move ; o (2) is not eligible to receive a free public school education [e.g., has graduated from a high school or obtained a General Educational Development (GED) certificate] ; or o (3) did not make the qualifying move described on the COE.
 If more than one COE is necessary , the recruiter must complete all sections on each form.**NATIONAL CERTIFICATE OF ELIGIBLITY**

**COE Instructions Page**  **3 Completing the Required Data Elements of the COE**  **(part I )**  **Family Data**  **.** Inthis section of the COE, the recruiter will record the name and address of the child’s male and/or female parent or parents.
 Male Parent/Guardian [Last Name(s), First Name ]. Record the name of the male (if an y) currentl y responsible for the child(ren). Record this individual’s legal last name (or names) and legal first name. If the male parent has two last names or a h yphenated last name, record the male parent’s last name(s) as it legall y exists. The term “par ent” on this form and in other sections of these instructions includes a legal guardian or other person who is standing in the place of the parent or in loco parentis (such as a grandparent, spouse, or stepparent with whom the child lives who is responsible for the welfare of the child). If the child has more than one male parent or if the child’s legal parent is different from the current parent , provide the name of the child’s legal male parent in the C omment s section . If there is no parent info rmation disclosed, write a dash ( - ) or “N/A . ” If the “child” is the worker and a male , write the child’s name for this data element.
 Female Parent/Guardian [Last Name(s), First Name ]. Record the name of the female (if any) currentl y responsibl e for the child(ren). Record this individual’s legal last name (or names) and legal first name. If the female parent has two last names or a hyphenated last name, record the female parent’s last name(s) as it legally exists. The term “parent” on this for m and in other sections of these instructions includes a legal guardian or other person who is standing in the place of the parent or in loco parentis (such as a grandparent, spouse, or stepparent with whom the child lives who is responsible for the welfare of the child). If the child has more than one female parent or if the child’s legal parent is different from the current parent, provide the name o f the child’s legal female parent in the C omment s section . If there is no parent information disclosed, write a dash ( - ) or “N/A .” If the “child” is the worker and a female , write the child’s name for this data element.
 Current Address. Record the phy sical address, including the complete name of the street or road where the child (ren) currentl y resides. In cases where a formal ph ys ical address is not available, include as much other identifying information as possible (e.g., trailer numb er, rural route, migrant camp, landmark). If the ph ys ical address is different from the mailing address, provide the mailing address in the C omment s section of the COE.
 City . Record the name of the city or town where the child (ren) current ly reside s .  State . Record the postal abbreviation used b y the U.S. Postal Service for the S tate where the child (ren) currently

resides.
 Zip . Record the five or nine - digit zip code where the child (ren) currentl y resides. The U.S. Postal Service has an online zip code directory service at http://zip4.usps.com/zip4/welcome.jsp.
 Telephone . Record the telephone number, including area code, of the family . If no telephone number is available, write a dash ( - ) or “N/A.”**NATIONAL CERTIFICATE OF ELIGIBLITY**

**COE Instructions Page**  **4 Child**  **Data .**  Child/school data includes the name, sex, birth date, etc. of each child. A recruiter should include all children with the same famil y and eligibility data on the same COE . An y child who has different (1) current famil y [see “ Family Data ” above for additional definition] or (2) eligibility

data

— including a diffe rent QAD

—must be documented on a separate COE.
 Residency Date. If the “Residency Date” is different from the QAD , r ecord the date ( MM/DD/ YY ) that the child (ren) entered the present school district. Use the two - digit number that refers to the month and day , and the last two digits of the ye ar. For example, May 20, 2008 , would be written as 05/20/08. If the child(ren) qualified for the MEP on a move prior to the move to the present school district, the residency date will be later than the QAD. If the child(ren) moved prior to the worker’s move, the residency date would precede the QAD. If the “Residency Date” is the same as the QAD, write a dash ( - ) or “N/A.” Note, although it is poss i ble to record a residency date that precedes the QAD, a COE cannot be filled out and a child cannot be enrolled in the MEP until after the child and worker make the qualifying move.
 Last name 1. Record the legal last name of each eligible child in the famil y . If the child has a multiple or hy

phenated last name (e.g., Ram í rez - Garc í a), record the first part of the name (i.e., Ram í rez).
 Last name 2. If the child has a multiple or hy phenated last name (e.g., Ram í rez - Garc í a), record the second part of the name (i.e., Garc í a). If the child does not have a multiple or hy phenated name, write a dash ( - ) or “N/A . ”
 Suffix . Where applicable, record the child ’s generation in the family (e.g., Jr., Sr., III, 3 rd ). Otherwise, write a dash ( - ) or “N/A.”
 First name . Record the legal first name of each eligible child in the famil y . This is the name given to the child at birth, baptism, or during another naming ceremon y, or through a legal name change. Do not record nicknames or shortened names (e.g., Ale or Alex for Alejandra).
 Middle name . Record the legal middle name of each e ligible child in the family . This is the secondary name given to the child at birth, baptism, or during another naming ceremony , or thr ough a legal name change. Do not record nicknames or shortened names (e .g., Ale or Ale x for Alejandra). If the child does not have a middle name, write a dash ( - ) or “N/A.”
 Sex . Record the child ’s sex : “M” for male or “F” for female.
 Birth D ate . Record the month, day and ye ar the child was born . Use the two - digit number that refers to the month and day , and the last two digits of the ye ar. For example, September 20, 2003 , would be written as 09/20/03.
 Multiple Birth Flag (MB) . Record “ Y ” for “y es” if the child is a twin, triplet, etc. Write a dash ( - ) or “N/A” for not applicable (i.e., the child is not a twin, triplet, etc.).**NATIONAL CERTIFICATE OF ELIGIBLITY**

**COE Instructions Page**  **5**  Birth Date Verification Code ( C ode) . Record the last two number s that correspond to the evidence used to confirm each child ’s birth date (see the codes and corresponding evidence listed below). A birth certificate is the best evidence of the child’s birth date, if available. If a birth certificate is not available, the interviewer may use another document to confirm the child ’s birth date, including an y of those listed below. o 10 03

– baptismal or church certificate; o 10 04

– birth certificate; o 10 05

– entry

in family Bible; o 10 06

– hospital certificate; o 10 07

– parent ’s affidavit; o 10 08

– passport; o 10 09

– phy sician’s certificate; o 10 10

– previously

verified school records ; o 10 11

– State - issued ID; o 10 12

– driver’s license; o 10 13

– immigration document; o 23 82

– life insurance policy ; or o 99 99

– other. If written evidence is not available, the interviewer may rel y on a parent’s or emancipated yo uth’s verbal statement. In such cases, the interviewer should record “ 07 ”

– the number that corresponds to “parent’s affidavit.” **Completing the Requir ed Data Sections of the COE**  **(part II )**  **Qualify ing Move & Work Section**  **.** Inthis section, record the qualifying move and qualifying work information which the S tate believes documents the child’s eligibility for the program. Note that exceptions apply for moves within States comprised of a single school district and school districts of more than 15,000 s quare miles. See #1 (immediatel y below) for how to document these exceptions. 1. The child(ren) listed on this form moved from a residence in

_________ (School D istrict/City

/ State /Country) to a residence in __________ ( School D istrict/City/State) .  from a residence in

_________ ( School D istrict/City / State /Country ) . This location is the last place of residency

before the child (ren) and the parent , spouse or guard ian moved due to economic necessity in order to obtain qualifying work . Note that the child(ren) might have made subsequent non - qualifying move s.
 to a residence in __________ (School District/City/State) . This location is the place of residency where the child (ren) and the parent , spouse or guardian moved due to economic necessit y in order to obtain qualifying work . A qu alifying move can never be made to a**NATIONAL CERTIFICATE OF ELIGIBLITY**

**COE Instructions Page**  **6** country outside of the United States. As mentioned previously , the child(ren) might have made subsequent non - qualifying move s. Following are several “qualifying move” scenarios. I dentify which scenario applies to the specific eligibility

situation and record the necessary information.
 If the child(ren) moved from a residence in one school district to a residence in another sch ool district within the same U.S. city

– o from a residence in

_________ ( School District/City/State /Country) - Record the full legall y or commonly used name of the school district where the child (ren) listed resid ed immediately prior to the qualifying move. Also record the name of the city from which the child (ren) listed moved. o to a residence in __________ (School District/City/State) - Record the full legally or commonly

used name of the school district where the child (ren) listed resided immediately

following the qualifying move. Also record the name of the city from which the child (ren) liste d moved.
 If the child(ren) moved from a residence in one school district to a residence in another school district within the same U.S. S tate (and these school districts are not within the same U.S. city)

– o from a residence in

_________ ( School District/City/State /Country) - R ecord the name of the cit y where the child (ren) listed resided immediately prior to the qualifying move . o to a residence in __________ (School District/City/State) - Record the name of the city where the child (ren) listed resided immediately following the qualifying move .  If the child(ren) moved from a residence in one U.S. S tate to a residence in another U.S. S tate
– o from a residence in

_________ ( School District/City/State /Country) - Record the name of the cit y and S tate where the child (ren) listed resided immediatel y prior to the qualifying move . o to a residence in __________ (School District/City/State) - Record the name of the city and S tate where the child(ren) listed resided immediately following the qualifying move .  If the child(ren) moved from a residence in a country other than the U.S. to a residence in the U.S.

– o from a residence in

_________ ( School District/City/State /Country) - R ecord the name of the S tate (within the other country) if available and the name of the country where the child(ren) listed resided immediately prior to the qualifying move . o to a residence in __________ (School District/City/State) - R ecord the name of the city and S tate in the U.S. where th e child(ren) listed resided immediately following the qualifying move.**NATIONAL CERTIFICATE OF ELIGIBLITY**

**COE Instructions Page**  **7**  **Exception .**  If the child(ren) migrated a distance of 20 miles or more to a temporary residence in a school district of more than 15,000 squar e miles (N OTE: this exception only applies to the children of migratory fishers or children who are migratory fishers)

– o from a residence in

_________ ( School District/City/State /Country) - Record the name of the cit y where the child (ren) listed resided immediately prior to the qualifying move. Also record the name of the school district within which this city is located. (N OTE: school district name is requested in order to identify this move as one that m ee t s the 20 miles criterion). o to a residence in __________ (School District/City/State) - Record the name of the city where the child (ren) listed resided immediately following the qualifying move. Also record the name of the school district within which this city is located. (N OTE: school district name is requested in order to identify this move as one that meet s the 20 miles criterion).
 **Except ion**  . If the child(ren) moved from a residence in one administrative area to a residence in another administrative area within a U.S. S tate that is comprised of a single school district

– o from a residence in

_________ ( School District/Cit y/State /Country) - Record the full legall y or commonly used name of the administrative area where the child(ren) listed resided immediately prior to the qualifying move. Also record the name of the city

from which the child (ren) listed moved. o to a residence in __________ (School District/City/State) - Record the full legally or commonly

used name of the administrative area where the child(ren) listed resided immediatel y following the qualifying move. Also record the name of the city from which the child (ren) listed moved. Provide as much of this information in these blanks as available. At a minimum (with the exception of States comprised of single school districts or school districts of more than 15,000 square miles) , the State must be able to document that the child moved across school district lines and changed residences in the process. In the case of States comprised of a single school district, the State must be able to document that the child moved from one administrative area to another and change d residences in the process. In the case of school districts of more than 15,000 square miles, the State must be able to document that the child migrated a distance of 20 miles or more and changed residences in the process . If the child and parent moved from different previous residences, record the child’s prior residence in response to #1 and record the parent’s residence in the C omment s s ection. In order for th e child to be eligible, both the child and the parent must have moved across school district lines and changed residences in the process. For more information on documenting the move from one school district to another, see the chart below.**NATIONAL CERTIFICATE OF ELIGIBLITY**

**COE Instructions Page**  **8 Type of mov**  **e** The child(ren) moved ... **The child’s residence i**  **mmediately prior to the qualifying move**  The child(ren) moved f

rom a residence in

________ ( School D istrict/City/State /Country) **The child’s residence**

**i mmediately following the**  **qualifying move** The child(ren) moved t o a residence in

__________ (School District/City/State)

... from one s chool district to another w ithin the same U.S. city School District, City School District, City

... from one s chool district to another w ithin the same U.S. S tate City City

... from one U.S. S tate to another U.S. S tate City , State City , State

... from a country

other than the U.S. to the U.S. State, Country City , State ...20 miles or more within a school district of more than 15,000 square miles ( **exception** ) School District, City School District, City ...From one administrative area to another within a U.S. State comprised of a single school district ( **exception** ) Administrative Area , City Administrative Area , City

2. The child (r en) moved ( complete both a. and b.): a. o n o w n a s a w o r

k e r , O R  with the worker, OR  to join or precede the worker . [Mark only one box

]
 Mark th e box “on own as a worker” if the child himself or herself moved in order to obtain qualifying work . Onl y complete the worker’s name in 2b.
 Mark the box “with the worker” if the child (ren) moved with a parent , spouse or guardian in order for the worker to obtain qualifying work.
 Mark the box “to join or precede the worker” if the child (ren) moved either before or after the date the parent , spouse , or guardian moved in order to obtain qualifyin g work. If this box is marked, also complete “i” under 2 b. b. T he worker, ______________ (First and Last Name of W orker), (Continued below)
 Record the first and last name of the individual who sought or obtained the qualifying work (i.e., parent, spouse, guardian , or child

– if on own as a worker).**NATIONAL CERTIFICATE OF ELIGIBLITY**

**COE Instructions Page**  **9**

(Continued from above) ... is the child or the child’s p a r e n t s p o u s e gu a rdi a n . [Mark only one box

]
 Mark the box that indicates the child’s relationship to the worker (i.e., parent, spouse or guardian). Do not select one of these boxes if “on own as a worker” is checked in 2a. i. (Complete if “to join or precede” is checked in 2a.) The worker moved on______ (MM/DD/YY). The child (r en) moved on

_ ____ (MM/DD/YY). (provide comment

) o Record the date the worke r moved in order to obtain qualifying work. Also r ecord the date the child(ren) moved in order for the parent, spouse, or guardian to obtain qualifying work. Also record the reason for the different moves in the C omment s s ection. 3. The Qualifying Arrival Date was ___________ (MM/DD/YY ). Record the QAD, using the two - digit numbers that refer to the month and day , and the last two digits of the y ear. For example, May

20, 2008 , would be written as 05/20/08. In general, the QAD is the date that both the child and worker compl eted the move . The child must have moved on his or her own, or with or to join a parent, guardian or spouse to enable the worker (i.e., child, parent, guardian or spouse) to obtain qualifying work. As referenced in 2a , the child and wo rker will not alway s move together, in which case the QAD would be the date the child joins the worker who has already moved, or the date when the worker joins the child who has alread y moved. The QAD is the date that the child’s eligibility for the MEP begins. The QAD is not affected by subsequent non - qualifying move s. For more information on determining the QAD, see the chart below. **Type of Qualifying Move**  The child. . . **Qualifying Arrival Date (QAD) --**  **Eligibility Begins** The QAD is. . . . . .moved with the worker. . . .the date the child and worker both arrive in the district where the worker will look for qualifying work. . . .moved before the worker moved. . . .the date the worker arrives in the district to look for qualifying work. . . .moved to join the worker after the worker moves. . . .the date the child arrives to join the worker. 4. The worker moved due to economic necessity in order to obtain: [Mark only one of the following boxes : either a, b, or c.] a. q u a l i f y i ng w o r k , a n d o b ta i n e d q u a l i

f y i ng w o r k , O R**NATIONAL CERTIFICATE OF ELIGIBLITY**

**COE Instructions Page**  **10**

 Mark this box if the child , parent , spouse, or guardian moved due to economic necessit y in order to obtain temporary or seasonal employment in agricultural or fishing work, and obtained that work. b. any work, and obtained qualifying work soon after the move, OR
 Mark this box if the child , parent , spouse or guardian , moved due to economic necessit y in order to obtain any work, and soon after the move obtained temporary

or seasonal employ

ment in agricultural or fishing work. c. q u a l i f y i ng w o r k s p e c i f i c a l l y , b u t di d n o t o b ta i n th e w o r k . I f th e w o r k e r di d n o t o b ta i n the qualifying work: [NOTE: Also complete box “i, ” box “ii” or both. ]
 Mark this box if the child , parent , spouse or guardian moved due to economic necessit y to obtain temporary or seasonal emplo yment in agricultural or fishing work, but did not obtain that work. If this box is marke d, also mark box i, box ii, or both. i. The worker has a prior history of moves to obtain qualifying work ( provide c ommen t ), OR o Mark this box to indicate that the worker has a prior history of moving to obtain temporary

or seasonal employ

ment in agri cultural or fishing work. Explain this history in the C omment s s ection. For example, the recruiter could write, “ qualifying worker moved from Brownsville, Texas , to Decatur, Michigan , to plant tomatoes in May of 2007.” The recruiter could also check the MSIX database, or other local database, to see if it contain s a history of prior moves to obtain qualifying work and attach the print - out to the COE. ii. T h e r e is o th e r c r e di b le e v i d e n c e th a t th e w o r

k e r a c t i v e l y s o ug h t q u a l i f y i ng work soon after the mov e ( provide c omment). o Mark this box to indicate that there is other credible evidence that demonstrates that the worker activel y sought qualifying agricultural or fishing work soon after the move, but the work was not available for reaso ns bey ond the worker’s control. For example, a local farmer or grower confirmed that the worker applied for qualifying work but none was available; newspaper clippings document that work was not available because of a recent drought, flood, hail storm, or other disaster in the area. Explain this evidence in the C omment s s ection and attach supporting documentation where available.**NATIONAL CERTIFICATE OF ELIGIBLITY**

**COE Instructions Page**  **11** 5. The qualifying work*, _____________ (describe agricultural or fishing work ), (Continued below)
 Describe agricultural or fishing work. When describing the specific agricultural or fishing work , the recruiter should use an action verb (e.g., “picking”) and a noun ( e.g., “strawberries”). In other words, the recruiter should describe the worker’s action (e.g., “picking”) and the crop , livestock, or seafood (e.g., “strawberries”). For example : p icking strawberries ; thinning sugar beets ; pruning grapes ; detasseling corn ; catching chickens ; planting o ys ters ; walking (weeding) so ybeans ; and harvesting crabs. (Continued from above) ...was (make a selection in both a. and b.) : a. seasona l OR temporary employment , (Continued below)
 Mark the box for “ s easonal employ ment” if the employ

ment occurs onl y during a certain period of the ye ar because of the cy cles of nature and that, by its nature, may not be continuous or carried on throughout the y ear. (Section 200.81(j)).
 Mark the box for “ t emporary employ ment” if the employ

ment lasts for a li mited period of time, usually

a few months, but not longer than 12 months. It t yp ically includes employ

ment where the worker states that the worker does not intend to remain in that employ

ment indefinitely , the employ er states that the worker was hired fo r a limited time frame , or the SEA has determined on some other reasonable basis that the employ ment is temporary . (Section 200.81(k)) . [N OTE: The definition of temporary employ ment includes employ

ment that is constant and available ye ar - round onl y if, consistent with the requirements of Section 200.81(k) of the regulations, the SEA documents that, given the nature of the work, of those workers whose children were previously determined to be eligible based on the State’s prior determination of the temporary nature of such employ ment (or the children themselves if they are the workers), virtuall y no workers remained employed b y the same emplo ye r more than 12 months. ] b. (Continued from above)... agricultural OR fishing work.
 Mark the box for “ a gricultural work” i f the work involves the production or initial processing of crops, dairy products, poultry , or livestock, as well as the cultivation or harvesting of trees. (Section 200.81(a)). The work may be performed either for wages or personal subsistence.
 Mark the b ox for “ f

ishing work” i f the work involves the catching or initial processing of fish or shellfish or the raising or harvesting of fish or shellfish at fish farms. (Section 200.81(b)) . The work may be performed either for wages o r personal subsistence. *If applicable, check:  personal subsistence (provide comment)**NATIONAL CERTIFICATE OF ELIGIBLITY**

**COE Instructions Page**  **12**

 (*) Mark the box for “personal subsistence” if “ ... the worker and the worker’s family , as a matter of economic necessit y, consume, as a substantial portion of their food intake, the crops, dairy products, or livestock they produce or the fish they catch” (Section 200.81(h)). Also provide a comment in the C omment s s ection . 6. (Only complete if “temporary ” is checked in 5) The work was determined to be temporary employment based on: a. w o r k e r ’ s s ta te m e n t (

provide c omment), OR
 Mark this box if the work was determined to be temporary employ ment based on a stat ement by

the worker or the worker’s family (e.g. , spouse) if the worker is unavailable ( provide comment ). For example, the worker states that he or she only plans to remain at the job for a few months. Provide explanatory comments in C omment s s ection. b. employer’s statement ( provide c omment), OR
 Mark this box if the work was determined to be temporary employ ment based on a statement by

the employer or documentation obtained from the employ er. For example, the employ er states that he or she hired the worker for a specific time period (e.g., 3 months) or until a specific task is completed and the work is not one of a series of activities that is ty pical of permanent employ ment. Provide explanatory comments in C omment s s ection. Attach sup porting documentation if available. c. S ta te d o c u m e n ta t i o n f

o r

____________________ (employer) .  Mark this box upon verification that the State has current documentation to support that the work described in # 5 is temporary employ ment for this particular employ er. In other words, the State has verified that of those workers whose children were previously

determined to be eligible based on the State’s prior determination of the temporary

nature of such employ

me nt (or the children themselves if they are the workers), virtually

no workers remained employ ed by the same employ er more than 12 months, even though the work may be available on a constant and ye ar - round basis.
 Employer. Id entify the employ er, whether it is the name of or code for a farmer, a grower, a business, or a corporation, where the worker either sought or obtained qualifying work. **Comment s**  **Section (M**  **ust include 2 bi, 4**  **c, 5, 6 a and 6b**  **of the Qualifying Move & Work Section, if applicable**  **. )**  **.** The “ C omment s s ection” of the COE allows the recruiter to provide additional**NATIONAL CERTIFICATE OF ELIGIBLITY**

**COE Instructions Page**  **13** information or details that clarify the reasons for the recruiter’s eligibility determination. The recruiter should write clear and detailed comments so an independent party who has no prior knowledge of the eligibility determination can understand the recruiter’s reasoning for determining that the child (ren) is eligible . At a minimum, the recruiter must provide comments that clearl y explain items 2 bi , 4 c , 5 , 6 a and 6b of the Qualifying Move & Work Section , if applicable . As mentioned previously , these items include the followin g scenarios:
 The child’s move joined or preceded the worker’s move. If the child(ren) joined or preceded the parent, spouse, or guardian, record the reason for the child’s later move or the worker’s later move .  The e mploy

ment is temporar y based on the worker’s statement or the employer’s statement. In particular, record the information provided by the worker or employ er regarding how long they

expect the employ

ment to last. The comment should be of sufficient length to adequately document how the recruiter came to the eligibility decision .  The child(ren) qualified on the basis of “personal subsistence,” meaning “that the worker and the worker’s family , as a matter of economic necessit y, consume, as a substantial p ortion of their food intake, the crops, dairy products, or livestock they produce or the fish they catch.” (Section 200.81(h)) .  The worker did not obtain qualifying employ ment as a result of the move . In this case, the recruiter must document that the worker stated that one reason for the move was to obtain qualifying work, AND o the worker has a prior history of moves to obtain qualifying work; o OR there is other credible evidence that the worker activel y sought qualifying work soon after the move, but, for reasons bey ond the worker’s control, the work was not available; o OR both. Examples of credible evidence include a statement by a farmer that the worker applied for qualifying work but none was available, or a newspaper clipping regarding a recent drought in the area that caused work not to be available. OME recommends that the recruiter provide additional comments on the COE in the following circumstances and in an y other circumstances in which a third part y ma y question the eligibility determination :
 The information on the COE needs additional explanation to be clearl y understood by an independent outside reviewer.
 The basis for the preliminary eligibility determination is not obvious. For example, the work is unusual enough that an independent reviewer is unlikely to understand that it is qualifying work . An explanation is needed to enable a reviewer to understand how the preliminary eligi bility

determination was made.**NATIONAL CERTIFICATE OF ELIGIBLITY**

**COE Instructions Page**  **14**  The work could be part of a "series of activities" that, viewed together, would constitute ye ar - round emplo ym ent (e.g., mending fences on a dairy farm and bailing hay

could be two parts of ye ar - round ranching with one emplo yer).
 The work may

be viewed by

an independent reviewer as either temporary or y ear - round employ ment (e.g., collecting eggs or milking cows).
 A "move " is of such brief duration or of such a short distance (or both) that one could question whether an y migration has occurred (e.g., intra - cit y or intra - town move that is across school district boundaries).
 A parent or guardian uses a sy mbol such as an “X” or other valid mark as a signature.
 The person who provided the information on the COE form is not the worker .  The qualifying move corresponds to school breaks and could be viewed by some as a return from vacation or a move for personal re asons, not a move f or economic necessit y whereb y the worker sought or obtain ed qualifying work. In this case, the recruiter should explain why

the move away

was for economic necessity and not for personal reasons.
 The mailing address is different from th e child’s phy sical residence; provide the mailing address as a comment.
 The child(ren) and parent moved from different previous residences. Record the parent’s previous School District/City/State/Country of residence. **Parent/Guardian/Spouse/Worker Signatu re Section**  **.** The interviewee signs and dates the COE on the day

the interview is conducted. The interviewee must also write his or her relationship to the child. I understand the purpose of this form is to help the State determine if the child ( ren)/youth listed on this form is/are eligible for the Title I, Part C , Migrant Education Program. To the best of my knowledge, all of the information I provided to the interviewer is true. Signature, Relationship to the child (r en) , Date The person who signs the COE must be the source of the information contained in the document and should verify

an y information provided b y another source. If the parent is unable to sign his or her name, the parent must mark an “ X ” in the signature section and the recruiter must print the parent’s name and relationship to the child in the C omment s section. I f a parent refuses to sign his or her name, the recruiter must document the parent’s refusal in the C omment s section and print the parent’s name and relationship to the child. If a State chooses to include other statements that require a parent/guardian/spouse/worker signature, the State can include the statement above as one of several checkboxes to be completed. However, this statement must be completed in accordance with the instructions for this section.**NATIONAL CERTIFICATE OF ELIGIBLITY**

**COE Instructions Page**  **15 Eligibility**  **Certification Section .**  The recruiter signs and dates the COE on the day the interview is conducted. I certify that based on the information provided to me, which in all relevant aspects is reflected above, I am satisfied that these children are migratory ch ildren as defined in 20 U.S.C. 6399(2) and implementing regulations, and thus eligible as such for MEP services. I hereby certify that, to the best of my knowledge, the information is true, reliable, and valid and I understand that any false statement pro vided herein that I have made is subject to fine or imprisonment pursuant to 18 U.S.C. 1001. Signature of Interviewer, Date Sign ature of Designated SEA Reviewer, Date At least one SEA - designated reviewer must check each completed COE to ensure that the written documentation is sufficient and that, based on the recorded data, the child(ren) may be enrolled in the MEP . The SEA - designated reviewer must sign and date the COE on the day it was reviewed. NOTE: If an SEA wishes to add to any portion of the Eligibility Certification Section, it must submit its proposed statement to the Office of M igrant Education for approval.**NATIONAL CERTIFICATE OF ELIGIBLITY**

**COE Instructions Page**  **16 Attachments** **NATIONAL CERTIFICATE OF ELIGIBLITY**

**Summary of Requirements Attachm**  **ent 1**  **R EQUIRED DATA ELEMENTS**  **Fam ily Data**  **Child Data** Male Parent/Guardian Last Name Residency Date Male Parent/Guardian First Name Last name 1 Fem ale Parent/Guardian Last Name Last name 2 Fem ale Parent/Guardian First Name Suffix Current Address First name City Middle name State Sex Zip Birth Date Telephone Multiple Birth Flag ( or MB) Birth Date Verification Code ( or Code) **REQUIRED DATA SECTIONS Qualifying Move & Work**  **Section** 1. The child(ren) listed on this form mo ved from a residence in

__ ______ School district / City / State / Country

______ to a residence in

__ ______ School district / City / State

___ ___ ____ . 2. The child(ren) moved (complete both a. and b.) : a.  on ow

n as w orker, OR  wi th the worker, OR  to join or precede the w orker. b. T he w orker ,
______ First Name and Last Name of Worker

_______ , is the child or the child’s  parent  spouse  guardian. i. ( C om plete if “to join or precede” is checked in 2a. ) The worker moved on

__ __MM/DD/YY

____ . The child(ren) mo ved on

_

___MM/DD/YY

_

___ . ( provide c omment) 3. The Qualifying Arrival Date was

______MM/DD/YY

_______ . 4. The w orker m oved due to economic necessity in order to obtain: a.  qualifying work, and obtained qualifying work, OR b.  any w ork, and obtained qualifying work soon after the move, OR c.  qualifying work specifically, but did not obtain the w ork. If the worker did not obtain the qualifying wo rk: i.  The w orker has a prior history of moves to obtain qualifying work ( provide c omme nt), OR ii.  There is other credible evidence that the worker actively sought qualifying work soon after the move ( provide co mme nt ) . 5. The qualifying w ork , *

___ ___ ___ describe agricultural or fishing work

_____ __ _ was (make a selection in both a. and b.): a.  seasonal OR  tem porary employment b.  agricultural OR  fishing wo rk 6. ( C om plete if “temporary” is checked in #5 a ) The w ork was determined to be temporary employment based on: a.  wo rker’s statement (provide comment), OR b.  employer’s statement (provide comment), OR c.  State documentation for

___ ___ ___Em pl oyer

_ ___ ______ . **Comment Section (M**  **ust include 2bi, 4c, 5, 6**  **a and 6b of the Qualifying Move &**  **Work Section, if applicable )**  **Parent/Guardian/Spouse/Worker Signature Section** I understand the purpose of this form is to help the State determine if the child ( ren)/youth listed on this form is/are eligible for the Title I, Part C Migrant Education Progr am . To the best of my knowledge, all of the information I provided to the interviewer is true. [This section must include fields labeled “Signature,” “Relationship to the child (ren) ,” and “Date”.] **Eligibility Certification Section**  I certify that based on the information provided to me, which in all relevant aspects is reflected above, I am satisfied that these children are migratory children as defined in 20 U.S.C. 6399(2) and implementing regulations, and thus eligible as such for MEP services. I hereby certify that, to the best of my knowledge, the information is true, reliable, and valid and I understand that any false statement provided herein that I have made is subject to fine or im priso nment pursuant to 18 U.S.C. 1001 . [The s ection must include fields labeled “Signature of Interviewer,” “Signature of Designated SEA Reviewer,” and “Date” for each signature.] *I f applicable, check:  personal subsistence (provide comment)**NATIONAL CERTIFICATE OF ELIGIBLITY**

**National COE Template Attachm**  **ent 2** I. FAMILY DATA Male Parent/G

uardian: La stName FirstName Female Parent/Guardian: La st Name First Name Current Addre ss: City State Zip Telephone II. CHILD DATA

La st Name 1 La st Name 2 Suffix First Name Middle Name Sex Birth Date MB Code Residency Date

III. QUALIFYI

NG MOVE & WORK IV. COMMENTS (M ust include 2 bi, 4c, 5, 6a and 6b of the Qualifying Move & Work Section, if applicable. ) 1. The child(ren) listed on this form moved from a residence in School di strict / Cit y ____ /

__ State / Country to a residence in School di strict / Cit y / State . 2. The child(ren) moved (complete both a. and b.): a.  on ow

n as worker, OR  with the worker, OR  to join or precede the worker. b. The worker, First Name and Last Name of Worker , is the child or the child’s  parent  spouse  guardian. i. (Complete if “to join or precede” is checked in 2a.) The wo rker moved on MM/DD/YY . The child(ren) moved on MM/DD/YY . (provide comment) 3. The Qualifying Arrival Date was MM/DD/YY . 4. The worker moved due to economic necessity in order to ob tain: a.  qualifying work, and obtained qualifying work, OR b.  any work, and obtained qualifying work soon after the move, OR c.  qualifying work specifically, but did not obtain the work. I f the worker did not obtain the qualifying work : i.  The worker has a prior history of moves to obtain qualifying work (provide comment), OR ii.  There is other credible evidence that the worker actively sought qualifying work soon after the move (provide c omment). 5. T he qualify

ing work,* describe agricultural or fishing work , was (make a selection in both a. and b.): a.  seasonal OR  temporary employment b.  agricultural OR  fishing work 6. (Complete if “temporary” is checked in #5 a ) The work was determined to be temporary employment based on: a.  worker’s statement (provide comment), OR b.  employer’s statement (provide comment), OR c.  State docum entation for Em plo yer . V. PARENT/GUARDIAN/SPOUSE/WORKER SIGNATURE I understand the purpose of this form is to help the State determine if the child ( ren )/youth listed on this form is/are eligible for the Title I , Part C , Migrant Education Program. To the best of my knowledge, all of the information I

provided to the interviewer is true.

____ ______________________________ ____ ______________________ __________________ Signatur e Relationship to the child (ren) Date VI. ELIGIBILITY DATA CERTIFICATION I certify that based on the information provided to me, which in all relevant aspects is reflected above, I am satisfied that these children are migratory children as defined in 20 U.S.C. 6399(2) and implementing regulations, and thus eligible as such for MEP services. I hereby certify that, to the best of my knowledge, the information is true, reliable, and valid and I understand that any false statement provided herein that I have made is subject to fine or imprisonment pursuant to 18 U.S.C. 1001.

_________________________________________ ____________________ Signature of I

nterviewer Date

______________________________ ___________ ____________________ Signature of D esignated SEA Reviewer Date *If applicable, check:  personal subsistence (provide comment)**NATIONAL CERTIFICATE OF ELIGIBLITY**

**National COE Template Attachm**  **ent 2**