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Language Survey
Required for all students
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Email *
English Language Form
Spanish Language Form
Student Last Name *
Student First Name *
Grade *
Date *
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School *
Student State ID #-not required
Gender *
Parent Name *
Right to Translation and interpretation Services-Indicate your language preference so we can provide an interpreter or translated documents, free of charge, when you need them. *
All parents have the right to information about their child's education in a language they understand. *
In what language do you prefer to receive written communication from the school *
In what language would you prefer to communicate with school staff when speaking? *
Eligibility for Language Development Support- Information about the student's language usage helps us identify students who may qualify for extended support to develop the language skills necessary for success in school.  Testing may be necessary to determine if language supports are needed. *
What language(s) is (are) spoken in your home? *
What language did you child learn first? *
What language does your child use most often at home? *
What language does your family use most often at home? *
What language do adults speak  most often with each other at home? *
Prior Education-Your responses about your child's birth country and previous education give us information about the knowledge and skills your child is bringing to school.  This for is not used to identify students immigration status. *
Where was your child born? *
When did your child first attend a school in the United States (the 50 ;states, DC)? (Kindergarten-12 grade) *
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Has your child attended a school in Puerto Rico? *
Thank you for providing the information needed on the Home Language Survey.  Contact your child's school if you have further questions about this form or about services available at your child's school. *
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