TRINITY LUTHERAN CHRISTIAN SCHOOL

5005 I-40 West

Amarillo, Texas 79106

(806) 352-5620

FAX (806) 353-7785

Mr. Rick Ryan

Principal

HOME LANGUAGE SURVEY

Name of Student: __________________________________________

Grade: _______________________ (Pre-Kindergarten AM or PM)

What language is spoken in your home most of the time? ___________________

What language does your child (do you) speak most of the time? _____________

Signature of Student of Parent: _____________________________

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TRINITY LUTHERAN CHRISTIAN SCHOOL

5005 I-40 West

Amarillo, Texas 79106

(806) 352-5620

FAX (806) 353-7785

Mr. Rick Ryan

Principal

Nombre del Nino: (a) _________________________________________

Grado: ________________________ (Pre-Kindergarten AM/PM)

DEBE DE COMPLETARSE POR EL PADRE O GUARDIAN:

        (1) Cau’l es el idioma que ma’s se hable en su hogar? _________________

        (2) Cau’l es el idoma que ma’s habla su nino (a)? _____________________

Frima del Padre o guardia’n ____________________________________                                                                                                                                                                

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