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Home Language Survey
Purpose:  The home language survey is used solely to offer appropriate educational services (U.S. ED EL Toolkit, Chapter 1).   This survey is the first of three steps to identify whether or not a student is eligible to be identified as an English language learner (ELL).  "Home" is defined as a student's current place of residence.

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Student name *
Student birth date *
Grade Entering *
Student address *
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