Dual-language Russian program information form
The purpose of this form is to gather information about families who would like their children born in 2011 or later to participate in a Russian dual-language program (starting with K) at a public elementary school, should one be established on the Upper West Side of Manhattan. Providing your information does not commit you to enrolling your child in the program.

How will we use this information?  

- We will use your email address to update you on progress and to inform you about upcoming meetings with the Department of Education (DOE).
- We will use aggregated information on the number of children per age group and school district (a) to convince the DOE that this program is needed and sustainable and (b) in discussions with principals of potential host schools.
- We will not disclose your specific information without your permission.
- We will not use your information for any commercial purpose.
- Once we are ready to file an application with the DOE, we will contact you again to confirm your interest.

If you have any questions about this form, or about the effort, send us an email to rdlp.nyc@gmail.com.
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Parent (main contact) name *
First name is sufficient, but you may give us your full  name if you like.
Parent (main contact) email address *
Parent (second contact) name
First name is sufficient, but you may give us your full  name if you like.
Parent (second contact) email address
Primary home language *
If other languages, besides Russian or English, are spoken in the home, enter them here.
School district number *
Look up your school district and zoned schools at http://schools.nyc.gov/SchoolSearch/ and enter just the number, e.g., "3" for "District 3".  District number will appear as part of your zoned school description.  
Zoned elementary school(s)
Look up your school district and zoned schools at http://schools.nyc.gov/SchoolSearch/ and enter just the school numbers, separated by commas. For example, enter "125, 36" for "P.S. 125, P.S. 036".  Leave blank if don't know for which school you are zoned.
If not already in School District 3, are you willing to relocate to District 3?  
Leave blank if already in District 3
Child 1: first name *
Child 1: birth month
Child 1: birth year *
Child 2: first name
Child 2: birth month
Child 2: birth year
Child 3: first name
Child 3: birth month
Child 3: birth year
Additional children
Enter information about any additional children, one child per line.
Are you willing to help with the organization of the program?  
We will be in touch to discuss your availability and specific tasks with which we need help.
Comments?
Enter any additional comments here.
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