Application for Two-Way Immersion Program
Application submission does not guarantee placement into the Two-Way Immersion Program.
Student's Name: *
Your answer
Student's Birthday: *
MM
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DD
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YYYY
Student's Gender: *
Name of Parent/Guardian 1: *
Your answer
Home Address: *
Your answer
Primary Phone Number: *
Your answer
Secondary Phone Number:
Your answer
Email Address: *
Your answer
Name of Parent/Guardian 2:
Your answer
Home Address:
Your answer
Primary Phone Number:
Your answer
Secondary Phone Number:
Your answer
Email Address:
Your answer
What is your child's first language? *
Your answer
What other languages are spoken at home? *
Your answer
Preschool Experience (Name of School):
Your answer
Number of Years Attended (Preschool):
Is there any information you would like to share with us about your child or your interest in the program?
Your answer
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