Parkview Dual Language Immersion
Parents interested in enrolling their child in the Dual Language program at Parkview Elementary School for the 2018-2019 school year should complete this form. Parents interested in enrolling their child in the Dual Language Program in grade 2, will be required to take an assessment to determine eligibility.
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First Name *
Last Name *
What grade level will this child be enrolled in for the 2018-2019 school year? *
Student's Birthday *
MM/DD/YYYY Example: 03/12/2001
Ethnicity *
Check all that apply.
Required
Street Number *
Example: 1404
Street Name *
Example:  Wood Street
What is your apartment number?
Example:  1/A
Zip Code *
Example:  46383
Parent Names *
Please list full name.
Phone Number *
Example: (219) 252-2233
email address
Is English the primary language spoken at home? *
Check yes or no
List all languages spoken at home.
Siblings Names
Please include first/last name and age.
Has your child participated in the Dual Language Program at Parkview? *
My child participated in the Dual Language Program during the grade levels checked below. Check all that apply.
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